Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMaulik Shah
    Ask Trek AI about this page

    Maulik Shah — Billing Profile & Reimbursement Data

    NPI 1508015397 · Chandler, AZ · Otolaryngology Physician

    Customize your policy alerts

    Sign up for Maulik Shah — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Maulik Shah is a otolaryngology physician provider located in Chandler, Arizona. This profile covers 11 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMaulik Shah
    Address2151 E Pecos Rd Ste 1
    CityChandler
    StateAZ
    ZIP85225
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 16, 2008

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

    Payer SourceTotal Paid
    Medicare$186.1K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…430$90$37.8K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.270$140$37K
    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…550$60$33.6K
    99204The provider sees a new 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 provider…190$110$20.2K
    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…230$70$16.5K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing460$30$15.5K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…390$20$8.2K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…330$30$8.2K
    30903The provider uses a complex or extensive approach to stop a heavy nosebleed caused by a vessel in the front area of the nose.30$190$5.2K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.330$10$3.6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,73810,410120$80$20.6K
    312311812070$130$16.3K
    992135889,60080$60$9.6K
    3090321020$190$7.9K
    992043225,79040$110$6.7K
    992031374,10040$70$4K
    G026846050$40$3.7K
    925571922090$30$3.6K
    6921025737030$30$1.8K
    925671719060$10$1.5K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner - University Physician Specialists LLCAZMulti-Specialty Clinic/Center$0$16.9M
    Benjamin BensonAZDiagnostic Radiology Physician$1.3M$0
    Tamara LundeenAZDiagnostic Radiology Physician$802.6K$0
    Kevin KlassenAZCardiovascular Disease Physician$513.1K$0
    Afshin EmamiAZOtolaryngology Physician$512.1K$0
    Kalpesh PatelAZDiagnostic Radiology Physician$409.1K$0
    Bruce KletscherAZUrology Physician$353.3K$0
    Robert BurkeAZCardiovascular Disease Physician$348.7K$0
    Kurt HeilandAZOtolaryngology Physician$346.9K$0
    Muhammad SethiAZEndocrinology, Diabetes & Metabolism Physician$332.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elite Youth & Family Services, LLCAZCommunity/Behavioral Health Agency$0$26.5M
    Anything Is Possible Youth & Family Services, LLCAZCommunity/Behavioral Health Agency$0$18.7M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$17.7M
    Therapy Matters, Inc.AZMulti-Specialty Clinic/Center$0$14.5M
    Suliman SulimanAZContractor$0$13.5M
    Allied Behavioral Health ServicesAZMental Health Clinic/Center (Including Community Mental Health Center)$0$12.7M
    Liv Well BehavioralAZCommunity/Behavioral Health Agency$0$7M
    Point Of Choice Behavioral Health IncAZCommunity/Behavioral Health Agency$0$6M
    Himanshu ShuklaAZClinical Cardiac Electrophysiology Physician$1.9M$0
    Amer Al-khoudariAZRheumatology Physician$1.2M$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. Arizona Distribution
    Maulik Shah — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona