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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNaveed Shah
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    Naveed Shah — Billing Profile & Reimbursement Data

    NPI 1477575546 · Coventry, RI · Pulmonary Disease Physician

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    Naveed Shah is a pulmonary disease physician provider located in Coventry, Rhode Island. This profile covers 15 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
    OrganizationNaveed Shah
    Address10 Woodland Dr
    CityCoventry
    StateRI
    ZIP02816
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$1.4M
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    94625The provider performs services related to a session of outpatient pulmonary rehabilitation, a treatment program that helps a patient who has a chronic respiratory illness. Typical sessions include…24,480$50$1.2M
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,170$40$45.6K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…590$50$29.9K
    99203The provider sees a new 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 provider…320$90$28.9K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…110$170$19.5K
    93268In this service, the provider uses electrocardiographic leads and a monitor to assess the occurrence of cardiac events in a patient, even when the patient is at home. He records the data throughout…130$150$18.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…170$100$16.6K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)250$50$12.7K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…270$30$8.7K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…220$40$8.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,7871,950100$80$11.7K
    9929143030040$170$10.3K
    992322,68965070$60$7.7K
    994902710140$50$7K
    994584210200$30$5.3K
    9945410010160$30$5.3K
    992033058030$70$3.6K
    99457821070$30$3.6K
    9943951080$40$3.1K
    9326811020$140$2.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Medicine Associates P.A., P.C.VAEmergency Medicine Physician$0$85.6M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Alegent Creighton ClinicNEFamily Medicine Physician$0$43.2M
    Ascension Ne Wisconsin, IncWIGeneral Acute Care Hospital$0$19.9M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Ascension Medical Group-fox Valley Wisconsin, IncWIMulti-Specialty Clinic/Center$0$13.4M
    Lifebridge Community Physicians, IncMDFamily Medicine Physician$0$13.2M
    Sinai Hospital Of Baltimore, Inc.MDGeneral Acute Care Hospital$0$10.2M
    Upmc Western Maryland CorporationMDRadiology Clinic/Center$917.4K$7.3M
    Usacs Integrated Acute Care Services Of Maryland, LLCMDInternal Medicine Physician$0$7.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summer Villa Inc.RIAssisted Living Facility$0$5M
    Town Of CoventryRIDevelopmentally Disabled Services Day Training Agency$0$2.1M
    Coventry Public SchoolsRILocal Education Agency (LEA)$0$2M
    Coventry Home CareRIHome Health Agency$0$1.2M
    Andrianna EdwardsRIGeneral Practice Dentistry$0$1.1M
    William GordonRIOrthodontics and Dentofacial Orthopedics Dentistry$0$1M
    Craig EliceRIPediatric Dentistry$0$864.4K
    Robert RattenniRIMental Health Counselor$0$737.6K
    Christopher GordonRIPediatric Dentistry$0$641.8K
    Rhode Island Childrens DentistryRIDentist$0$415.5K

    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. Rhode Island Distribution
    Naveed Shah — 7 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island