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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAvani Shah
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    Avani Shah — Billing Profile & Reimbursement Data

    NPI 1548285083 · Leonardtown, MD · Internal Medicine Physician

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    Avani Shah is a internal medicine physician provider located in Leonardtown, Maryland. This profile covers 28 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
    OrganizationAvani Shah
    Address22650 Cedar Lane Ct
    CityLeonardtown
    StateMD
    ZIP20650
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$267.7K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,050$70$141.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit210$130$27.6K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes800$30$20.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…520$20$8.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.490$10$6.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.620$10$6.2K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…80$80$6.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.720$10$5.7K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…520$10$5.2K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…30$160$5K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145710,270150$90$24.1K
    G04393712,32090$130$16K
    8006138290170$10$14.3K
    8005387430250$10$13.1K
    992136,2959,280100$60$12.5K
    8444323320100$20$12.1K
    906771,0521,39020$280$8.6K
    906945281,29060$70$7.7K
    841538419040$20$6.7K
    85025102640140$10$6.6K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar Medical Group - Southern Maryland LLCMDInternal Medicine Physician$0$27.7M
    Minal ShahMDHematology & Oncology Physician$2.1M$0
    Medstar Medical Group - Southern Maryland LLCMDAmbulatory Surgical Clinic/Center$1.7M$283.4K
    Carl GableMDAnatomic Pathology & Clinical Pathology Physician$1.6M$0
    Gurdeep ChhabraMDHematology & Oncology Physician$1.2M$0
    Anil ShahMDCardiovascular Disease Physician$846.7K$0
    Tammy LambVADiagnostic Radiology Physician$610.2K$0
    Alex RyzhikovMDCardiovascular Disease Physician$591.3K$0
    Alexander MarkMDDiagnostic Radiology Physician$580.2K$0
    Helen SaxDEDiagnostic Radiology Physician$508.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Mary's County Public SchoolsMDLocal Education Agency (LEA)$0$11.8M
    St. Mary's County CommissionersMDLand Ambulance$1.5M$1.1M
    Pradeep SimloteMDAllergy & Immunology Physician$413.4K$913.3K
    George VergheseMDDermatology Physician$561.1K$0
    Leonardtown Surgery Center LLCMDAmbulatory Surgical Clinic/Center$494.2K$0
    Sureshbhai PatelMDInternal Medicine Physician$350.9K$0
    Daniel BaukMDOrthopaedic Surgery Physician$298.6K$0
    Sheriar DemehriMDPodiatrist$292.2K$0
    Shonna WagamanMDFamily Nurse Practitioner$280.3K$0
    Peter JohnstonMDOrthopaedic Surgery Physician$269.7K$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. Maryland Distribution
    Avani Shah — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland