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 Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois 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. Illinois (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.

Biren Shah (NPI 1528455565)

Field	Value
Entity Type	Individual
Organization	Biren Shah
Address	6090 Strathmoor Dr Ste 6
City	Rockford
State	IL
ZIP	61107
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	April 16, 2015

Payer Source	Total Paid
Medicare	$31.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	170	$60	$10.4K
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…	60	$90	$5.3K
99204	The 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…	40	$110	$4.5K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	50	$80	$4K
99203	The 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…	40	$70	$3.2K
11422	The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals.	30	$130	$3.2K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	40	$30	$930

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Biren Shah — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12,611	18,540	110	$80	$17.1K
99213	4,520	17,390	70	$60	$8.8K
99204	3,333	8,580	30	$110	$5.6K
99203	2,314	6,150	30	$70	$3.8K
93923	75	230	30	$60	$3.3K
11422	3	10	20	$100	$1.9K
73630	822	1,400	50	$20	$1.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$16.4M
Rosecrance, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Marc Wasserman	IL	Dentist	$0	$3.3M
Susan Fowell	IL	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Andrew Jun	IL	Otolaryngology Physician	$2.3M	$0
Rockford Orthopedic Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$1.2M	$0
Rockford Gastroenterology Associates, Ltd.	IL	Ambulatory Surgical Clinic/Center	$956.2K	$264K
Featherstone Partnership LP	IL	Ambulatory Surgical Clinic/Center	$946.2K	$0
Thomas Dahlberg	IL	Pain Medicine (Anesthesiology) Physician	$692.1K	$0
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0

Biren Shah — Billing Profile & Reimbursement Data

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Biren 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

Nearby Providers

Frequently Asked Questions

References