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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPratish Shah
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    Pratish Shah — Billing Profile & Reimbursement Data

    NPI 1467615708 · Edgewood, KY · Radiation Oncology Physician

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    Pratish Shah is a radiation oncology physician provider located in Edgewood, Kentucky. This profile covers 17 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
    OrganizationPratish Shah
    Address1 Medical Village Dr
    CityEdgewood
    StateKY
    ZIP41017
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJuly 8, 2008

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

    Payer SourceTotal Paid
    Medicare$141K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…170$150$24.7K
    77014N/A660$30$21.9K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…60$310$20.1K
    77263The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…90$130$11.4K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…60$170$10.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…70$130$9.3K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.190$50$8.6K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…330$30$8.3K
    77435In this procedure, the provider manages the complete course of stereotactic body radiotherapy treatment in which he uses a three–dimensional coordinate system to locate small targets or lesions…20$470$7.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…130$40$5.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77280235040$160$24.6K
    774272260130$150$22.3K
    7730166040$520$20.4K
    770141270390$50$20.3K
    992145,6227,230110$70$14.1K
    77435163020$470$11.9K
    7733896040$210$8.7K
    992132,4797,25080$50$7.7K
    773001470180$30$7.5K
    7726386060$120$7.2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$41.7K$188.3M
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$0$65.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$0$46M
    St Elizabeth Medical Center, IncKYCritical Access Hospital$0$35.4M
    St Elizabeth Medical Center, IncINGeneral Acute Care Hospital$0$4.6M
    St Elizabeth Medical Center, IncKYPhysician Assistant$0$3.8M
    St Elizabeth Medical Center, IncKYCommunity Based Hospice Care Agency$0$3M
    Kurt LeuenbergerOHHematology & Oncology Physician$1.7M$0
    Patrick WardOHHematology & Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Transitions, Inc.KYSubstance Abuse Rehabilitation Facility$0$31.3M
    Compass Emergency Physicians PscKYEmergency Medicine Physician$0$28.8M
    Bluegrass Behavioral Health Group, LLCKYBehavior Analyst$0$23.7M
    Redwood School And Rehabilitation CenterKYChild Intellectual and/or Developmental Disabilities Respite Care$0$12M
    Radiology Associates Of Northern Kentucky, PLLCKYDiagnostic Radiology Physician$0$9.4M
    Orthocincy Orthopaedics & Sports Medicine PscKYOrthopaedic Surgery Physician$0$9.4M
    Redwood School And Rehabilitation CenterKYCommunity Health Clinic/Center$0$9.2M
    Interim Healthcare Of Cincinnati, IncKYHome Health Agency$0$7.9M
    New Perceptions IncKYDevelopmentally Disabled Services Day Training Agency$0$6.5M
    Tri-state Gastroenterology Associates, PscKYAmbulatory Surgical Clinic/Center$940.1K$1.9M

    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. Kentucky Distribution
    Pratish Shah — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky