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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVarun Shah
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    Varun Shah — Billing Profile & Reimbursement Data

    NPI 1538573480 · Knoxville, TN · Pulmonary Disease Physician

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    Varun Shah is a pulmonary disease physician provider located in Knoxville, Tennessee. This profile covers 19 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
    OrganizationVarun Shah
    Address6473 Kingston Pike
    CityKnoxville
    StateTN
    ZIP37919
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJune 19, 2014

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

    Payer SourceTotal Paid
    Medicare$83.3K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…110$130$13.4K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…80$160$11.6K
    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$10.1K
    31653The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…40$170$6.9K
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.70$90$6.4K
    31652The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…60$100$5.6K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.70$70$5K
    77012In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…70$50$3.7K
    31654In this add–on procedure, the provider uses ultrasound guidance in the throat (trachea) and/or the major air passages to the lungs (bronchi) in addition to passing a rigid or flexible scope into the…70$50$3.6K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.80$40$3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,94211,370120$80$16.6K
    992911,3231,56040$160$9.7K
    992154792,71040$110$8.3K
    992051201,30020$140$4.9K
    3165342020$150$4.8K
    3162942030$90$4.2K
    3165222030$130$3.6K
    3162753030$70$2.8K
    947298923060$30$2.6K
    3164011020$160$2.4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Statcare Inpatient LLCTNInternal Medicine Physician$0$2.5M
    Danielle MoteTNFamily Nurse Practitioner$484.5K$13.8K
    Shannon ByrdTNPulmonary Disease Physician$348.7K$0
    Katherine JohnsonTNFamily Nurse Practitioner$298.9K$15.6K
    John PrinceTNPulmonary Disease Physician$230.6K$0
    David BernsOHDiagnostic Radiology Physician$150K$0
    Justin CecilTNMedical Physician Assistant$101.3K$0
    David GrillsAKHospitalist Physician$96.1K$0
    Katherine CrossTNFamily Nurse Practitioner$95.3K$0
    Eric WeaverTNPulmonary Disease Physician$79.9K$5.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Continuumrx, Inc.TNHome Infusion Therapy Pharmacy$0$6.7M
    Abco Medical Supply, Inc.TNDurable Medical Equipment & Medical Supplies$0$6.3M
    Abercrombie Radiological Consultants IncTNDiagnostic Radiology Physician$0$3.2M
    Bright Eye Consultants PCTNPediatric Ophthalmology and Strabismus Specialist Physician Physician$0$2.5M
    Bjr Enterprises, LLCTNIn Home Supportive Care Agency$0$2.4M
    Todd ScarbroughTNTherapeutic Radiology Physician$1.3M$0
    Robert GriffithTNDermatology Physician$727.3K$0
    Christopher PollockTNVascular Surgery Physician$662.5K$0
    Adam WrightTNDermatology Physician$564.7K$0
    Premier-covenant Astc LLCTNAmbulatory Surgical Clinic/Center$399.6K$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. Tennessee Distribution
    Varun Shah — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee