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    OpenPayerNPI Medicare & MedicaidJay Shah
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    Jay Shah — Billing Profile & Reimbursement Data

    NPI 1538571997 · Scarborough, ME · Interventional Cardiology Physician

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    Jay Shah is a interventional cardiology physician provider located in Scarborough, Maine. This profile covers 16 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
    OrganizationJay Shah
    Address96 Campus Dr Ste 1
    CityScarborough
    StateME
    ZIP04074
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedMay 20, 2014

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

    Payer SourceTotal Paid
    Medicare$53.5K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…30$370$12K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,690$10$10.1K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…40$160$6.9K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…30$240$6K
    93456In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with right heart catheterization. He also performs injections to assess any coronary artery…20$200$3.2K
    93451In this procedure, the provider gains percutaneous venous access through the internal jugular, subclavian, or femoral vein under fluoroscopic guidance. He obtains oxygen saturation measurements that…30$90$2.3K
    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…30$70$2.2K
    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…20$80$1.9K
    92978In this add–on procedure, the provider advances a catheter into a coronary vessel or previously placed graft using ultrasound or optical coherence tomography to view the extent of the blockage,…20$60$1.4K
    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…10$130$1.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9292842030$400$10.4K
    9923346358050$90$8.1K
    992142,4132,50070$70$7.2K
    9923279989070$60$7.1K
    9922356460030$130$5.3K
    9345842030$180$5.3K
    93456102020$220$4.5K
    9923924644040$90$4.4K
    93454162030$140$4.3K
    9346011010$250$4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Mary's Regional Medical CenterMEGeneral Acute Care Hospital$0$67.4M
    Memorial HospitalNHCritical Access Hospital$0$7.4M
    MainehealthMEGeneral Acute Care Hospital$0$4.3M
    MainehealthMEMulti-Specialty Clinic/Center$0$2.8M
    MainehealthMEFamily Medicine Physician$0$2.7M
    Memorial HospitalNHRural Health Clinic/Center$0$2.2M
    MainehealthMEGeneral Acute Care Hospital$0$1.4M
    St. Mary's Regional Medical CenterMEUrgent Care Clinic/Center$0$1.3M
    Mirela AndreiWAMedical Oncology Physician$1M$0
    Youval KatzPAHematology & Oncology Physician$982.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    NordxMEClinical Medical Laboratory$2.4M$21.8M
    New England Life Care, Inc.MEHome Infusion Therapy Pharmacy$0$12.4M
    Northeast Mobile Health ServicesMEAmbulance$930.3K$9.5M
    Choices Are For Everyone, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$9.7M
    Skilled Care SolutionsMEHome Health Agency$0$6.8M
    Surgi-care, IncMEProsthetic/Orthotic Supplier$0$5.6M
    MainehealthMEFamily Medicine Physician$0$5M
    MainehealthMENeurology Physician$0$4.2M
    MainehealthMECardiovascular Disease Physician$0$3.9M
    Maine Home Care SolutionsMEIn Home Supportive Care Agency$0$3.2M

    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. Maine Distribution
    Jay Shah — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine