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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGrace Shih
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    Grace Shih — Billing Profile & Reimbursement Data

    NPI 1528004447 · Winchester, VA · Gastroenterology Physician

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    Grace Shih is a gastroenterology physician provider located in Winchester, Virginia. This profile covers 18 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
    OrganizationGrace Shih
    Address190 Campus Blvd
    CityWinchester
    StateVA
    ZIP22601
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 20, 2006

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

    Payer SourceTotal Paid
    Medicare$202.4K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…310$210$64.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…300$90$28.6K
    J1745Injection, infliximab, excludes biosimilar, 10 mg740$30$19.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.240$80$18K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk100$180$17.5K
    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…120$100$12.2K
    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…110$90$9.8K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.70$90$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…50$110$5.5K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$170$5.2K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J174529304,540$30$200.2K
    96413214230250$100$28.5K
    453851140070$260$24.7K
    992147,22612,890140$80$21K
    453801040060$160$12.9K
    992324,1574,46080$60$11K
    992137,50612,44090$60$10K
    432391239070$110$9.3K
    G01051124030$240$9.2K
    432495410030$260$8.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard SearsVAGastroenterology Physician$288.9K$0
    Satyanisth AgrawalVAGastroenterology Physician$264.9K$0
    Khurram BaigVAGastroenterology Physician$256.6K$0
    Rotimi AyoolaVAGastroenterology Physician$254K$1.2K
    Richard NemecVAGastroenterology Physician$242.2K$0
    Joanna MyersVAPhysician Assistant$44.8K$0
    Beth SchultzVAPhysician Assistant$39.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grafton School, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$92M
    Winchester Medical CenterVAGeneral Acute Care Hospital$0$69.9M
    Grafton School IncVAPsychiatric Residential Treatment Facility$0$33M
    Shenandoah Valley Community Residences, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.4M
    Compassionate Home CareVAIn Home Supportive Care Agency$0$14.5M
    Nova Family Services, Inc.VAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$13.5M
    Uncle Sam Transportation LLCVATaxi$0$12M
    National Counseling Group, IncVAMental Health Counselor$0$11.2M
    Pediatrix Medical Group PCVANeonatal-Perinatal Medicine Physician$0$10.8M
    Winchester Medical CenterVAObstetrics & Gynecology Physician$0$10M

    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. Virginia Distribution
    Grace Shih — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia