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    OpenPayerNPI Medicare & MedicaidMansi Shah
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    Mansi Shah — Billing Profile & Reimbursement Data

    NPI 1548689763 · New Brunswick, NJ · Hematology (Internal Medicine) Physician

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    Mansi Shah is a hematology (internal medicine) physician provider located in New Brunswick, New Jersey. This profile covers 7 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
    OrganizationMansi Shah
    Address125 Paterson St Ste 5200
    CityNew Brunswick
    StateNJ
    ZIP08901
    TaxonomyHematology (Internal Medicine) Physician
    NPI EnumeratedApril 15, 2014

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

    Payer SourceTotal Paid
    Medicare$67.8K
    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.

    7 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…300$110$32.7K
    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…140$100$14K
    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…60$150$8.6K
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…260$30$6.8K
    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…20$150$3.4K
    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…20$90$1.4K
    G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…30$30$880

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992331,8724,270110$100$22.5K
    992152103,75040$140$12K
    992232,1894,98050$140$11.8K
    992391,5451,71070$100$9.5K
    992051,0861,97030$170$6.5K
    G2212811040$30$2.3K
    G0316194030$30$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Associates Of Englewood, PCNJInternal Medicine Physician$0$36.9M
    Rutgers Health-rwj Pediatric Critical CareNJPediatric Emergency Medicine (Pediatrics) Physician$0$7.3M
    Babar RaoNYDermatology Physician$1.3M$0
    Frank VictorNJDermatology Physician$352.3K$0
    Kulpreet BarnNJAdvanced Heart Failure and Transplant Cardiology Physician$344K$0
    Steve KhalilNJNephrology Physician$250.2K$0
    Stephanie BadalamentiNJDermatology Physician$193.2K$0
    Kameswari MagantiNJCardiovascular Disease Physician$47.7K$95.1K
    Joseph WeinerNJRadiation Oncology Physician$126.2K$0
    Jennifer ChenNJNeurology Physician$115.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Specialized HospitalNJChildren's Rehabilitation Hospital$0$200M
    Robert Wood Johnson University Hospital, IncNJGeneral Acute Care Hospital$0$198.3M
    Saint Peter's University HospitalNJGeneral Acute Care Hospital$0$185.5M
    Diya Care IncNJHome Health Agency$0$139.8M
    Golden Path Adult Day Health Care Inc.NJAdult Day Care Clinic/Center$0$17.7M
    New Brunswick Board Of EducationNJLocal Education Agency (LEA)$0$12.7M
    Care We Love, LLCNJHome Health Agency$0$11.2M
    Damon House Inc.NJSubstance Abuse Rehabilitation Facility$0$9.8M
    Southern Bank Emergency Physicians LLCNJEmergency Medicine Physician$0$9.2M
    New Brunswick Counseling CenterNJSubstance Use Disorder Rehabilitation Clinic/Center$174.7K$9M

    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. New Jersey Distribution
    Mansi Shah — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey