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    OpenPayerNPI Medicare & MedicaidShyam Thakkar
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    Shyam Thakkar — Billing Profile & Reimbursement Data

    NPI 1437243383 · Morgantown, WV · Gastroenterology Physician

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    Shyam Thakkar is a gastroenterology physician provider located in Morgantown, West Virginia. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShyam Thakkar
    Address1 Medical Center Dr
    CityMorgantown
    StateWV
    ZIP26506
    TaxonomyGastroenterology Physician
    NPI EnumeratedOctober 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$84.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…50$320$16.9K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…50$180$8.2K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…70$110$8.1K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…50$150$7.5K
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$350$7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$100$4.9K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.20$250$4.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$60$4.5K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…30$170$4.3K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…10$270$3.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992327461,34090$60$11.9K
    992142,2472,740100$70$11.8K
    4327411040$320$11.3K
    45385437040$200$10.4K
    4327631020$340$7.4K
    43239489040$90$5.5K
    4539021020$250$5.5K
    4325921030$150$5.2K
    4324211030$170$4.5K
    992223201,08030$100$4.5K

    Showing 1–10 of 18

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Shyam Thakkar, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Medical CorporationWVFamily Medicine Physician$0$162.1M
    Wheeling Hospital IncWVGeneral Acute Care Hospital$0$40.1M
    Jefferson Regional Medical CenterPAGeneral Acute Care Hospital$0$12.7M
    Wheeling Hospital IncWVFamily Medicine Physician$0$8.5M
    West Penn Allegheny Health System Inc.PAGeneral Acute Care Hospital$0$8.2M
    Richard KimSCRheumatology Physician$3.6M$0
    Thierry VerstraetenPAOphthalmology Physician$894.3K$45K
    Allegheny ClinicPARadiology Clinic/Center$842K$0
    Edward KiggunduWVRadiation Oncology Physician$835.2K$0
    David WeberPASpecialist$292.8K$498.8K

    Nearby Providers

    Other providers in the same ZIP code as Shyam Thakkar, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Hospitals, IncWVGeneral Acute Care Hospital$0$124.1M
    West Virginia University Hospitals, Inc.WVSubstance Abuse Rehabilitation Facility$0$15.4M
    West Virginia University Dental CorporationWVDentist$0$5.9M
    West Virginia University Hospitals, IncWVEmergency Medicine Physician$0$3M
    Heather BooWVNeuroradiology Physician$596.8K$0
    Arijit ChakravartyWVNephrology Physician$281K$0
    Adeem AkbarWVNephrology Physician$162.7K$0
    Robert MarshWVNeurological Surgery Physician$152.1K$0
    Mark LisleWVDiagnostic Radiology Physician$150.1K$710
    Brian HamlinWVAdult Reconstructive Orthopaedic Surgery Physician$148.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Shyam Thakkar — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia