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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShilpan Shah
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    Shilpan Shah — Billing Profile & Reimbursement Data

    NPI 1508061623 · Long Branch, NJ · Internal Medicine Physician

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    Shilpan Shah is a internal medicine physician provider located in Long Branch, New Jersey. This profile covers 9 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
    OrganizationShilpan Shah
    Address300 2nd Ave
    CityLong Branch
    StateNJ
    ZIP07740
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 19, 2007

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

    Payer SourceTotal Paid
    Medicare$323K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…1,470$100$145.7K
    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…780$60$49.7K
    99223The 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…280$150$40.2K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…410$100$39K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…260$90$22.3K
    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…170$100$18K
    99183In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…70$80$5.7K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$110$1.8K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…20$70$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993096261,400210$80$37.5K
    99233394,270110$100$22.5K
    992324906,220120$70$18.4K
    992232314,98050$140$11.8K
    9930564675060$100$10.6K
    99239171,71070$100$9.5K
    99183102070$90$8.4K
    992223064,37040$110$6.7K
    992386401,12030$70$2.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rwjbh Emergency Medicine Associates, LLCNJEmergency Medicine Physician$0$117.8M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Barnabas Health Medical Group PCNJSpecialist$0$40M
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Hackensack Meridian Health Medical Group - Primary Care PCNJFamily Medicine Physician$0$21.9M
    Azz Medical Associates PCNJInternal Medicine Physician$0$12.1M
    Anjum TanwirNJCardiovascular Disease Physician$2.5M$1.3K
    Jasminka BalderacchiNYAnatomic Pathology & Clinical Pathology Physician$1.9M$0
    David DickersonNJOrthopaedic Surgery Physician$171.5K$1.7M
    Ramzan ZakirNJInterventional Cardiology Physician$1.7M$1.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monmouth Medical Center IncNJGeneral Acute Care Hospital$0$110M
    Andrew KwakNJDiagnostic Radiology Physician$808.5K$0
    Alexander KingNJDiagnostic Radiology Physician$300.6K$0
    Jonathan KristanNJOphthalmology Physician$272.3K$0
    Glenn ZwerinNJGeriatric Medicine (Internal Medicine) Physician$188.9K$0
    Todd TrainaNJClinical Psychologist$181K$5.9K
    Sang SimNJRadiation Oncology Physician$178.5K$0
    Lisa GastanNJFamily Nurse Practitioner$177.3K$0
    George ConstantinopoulosNJSurgery Physician$162.6K$0
    Vincent LanteriNJUrology Physician$157K$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. New Jersey Distribution
    Shilpan Shah — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey