Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hetal Shah (NPI 1497040398)

Field	Value
Entity Type	Individual
Organization	Hetal Shah
Address	3525 Ensign Rd Ne Ste K
City	Olympia
State	WA
ZIP	98506
Taxonomy	Nephrology Physician
NPI Enumerated	June 20, 2011

Payer Source	Total Paid
Medicare	$172K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	200	$240	$47.4K
99215	The provider sees an established 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…	290	$120	$33.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	350	$100	$33.3K
99232	The 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…	180	$60	$10.9K
99214	The 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…	100	$90	$8.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$140	$8.3K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	30	$280	$8.1K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	40	$160	$6K
99205	The 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…	40	$150	$5.9K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	2,430	$1	$4.8K

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

Claims Volume vs. Washington Distribution

Hetal Shah — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	76	80	130	$280	$41.3K
90961	3	110	80	$230	$26.9K
J0881	13	30	7,810	$1	$19.8K
99214	3,612	10,860	100	$80	$13.6K
90962	3	90	40	$160	$10.6K
99233	99	2,420	60	$90	$10.4K
99215	110	4,320	40	$120	$8.4K
99232	349	3,100	70	$60	$7.5K
99223	509	2,570	30	$130	$6.4K
90662	1,137	1,000	30	$70	$5.5K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thuan Nguyen	WA	Nephrology Physician	$159.6K	$0
Tsering Dhondup	WA	Nephrology Physician	$152.5K	$0
Hanan Batarseh	WA	Nephrology Physician	$138.3K	$0
Mary Jennings	WA	Registered Dietitian	$8.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health Resources	WA	Community/Behavioral Health Agency	$0	$40.7M
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$39.9M
Providence Health & Services Washington	WA	Family Medicine Physician	$0	$20M
Harbor Health Solutions LLC	WA	Home Health Agency	$0	$8.6M
Olympia Emergency Services, PLLC	WA	Emergency Medicine Physician	$0	$6.5M
South Sound Pediatrics PLLC	WA	Pediatrics Physician	$0	$6.3M
Healthy Future Pediatrics	WA	Pediatrics Physician	$0	$4.3M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.4M
Olympia Pediatrics, PLLC	WA	Specialist	$0	$2.7M

Hetal Shah — Billing Profile & Reimbursement Data

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Hetal Shah — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References