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    OpenPayerNPI Medicare & MedicaidJeffery Shay
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    Jeffery Shay — Billing Profile & Reimbursement Data

    NPI 1568462513 · Tamuning, GU · Vascular & Interventional Radiology Physician

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    Jeffery Shay is a vascular & interventional radiology physician provider located in Tamuning, Guam. This profile covers 38 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
    OrganizationJeffery Shay
    AddressGuam Medical Plaza, Ste. 210
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyVascular & Interventional Radiology Physician
    NPI EnumeratedJuly 29, 2005

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

    Payer SourceTotal Paid
    Medicare$987.8K
    Medicaid$0

    Key Findings

    This provider has generated a total of $987.8K in Medicare revenue with no Medicaid billing on file, making their practice effectively single‑payer Medicare in the available data; there is no recorded Medicaid activity to diversify payer risk or volume. The absence of Medicaid billing suggests the provider’s Medicare work drives the observable revenue and utilization profile for payers analyzing network capacity in GU.

    Revenue concentration is high: the precomputed top three Medicare codes account for 68.9% of the provider’s total Medicare revenue, indicating that a small set of interventional radiology and dialysis access procedures dominate earnings. Focusing contracting, utilization management, or clinical review on those high‑impact codes would cover the majority of the provider’s Medicare activity.

    The top revenue code is 37225, which accounts for $362.1K (37.1% of Medicare revenue) and ranks the provider #103 of 715 nationally (85th percentile). This placement indicates the provider has above‑typical national volume for this endovascular service relative to peers, positioning them as a meaningful regional source for complex peripheral vascular procedures.

    The second and third revenue drivers are 37229 ($185.2K, 19.0%) and 36902 ($124.6K, 12.8%), respectively, reflecting a practice mix centered on endovascular peripheral interventions and dialysis circuit angiography/angioplasty. Together with 37225 these codes point to a clinical focus on vascular/interventional radiology services and dialysis access interventions rather than general outpatient medicine.

    Several individual code ranks highlight specific competitive strengths and operational patterns: the provider is a national outlier on 76937 (ultrasound guidance) at the 100th percentile and ranks #20 of 12,234, indicating extremely high volume of ultrasound‑guided vascular access support compared with peers; similarly, supervision/interpretation code 75774 appears at the 95th percentile and 75716 is notably above typical national volume at the 98th percentile, suggesting frequent use of radiologic supervision and multi‑stage angiographic workups. These patterns imply robust procedure throughput and repeated use of imaging support services.

    Other codes suggest routine dialysis‑focused interventions rather than high volumes of certain peripheral stent placements: 36906 (thrombectomy/thrombolysis with stent) is present but modest ($58.8K, 6.0%) and ranks low nationally at the 3rd percentile, indicating this more complex thrombectomy/stent combination is not a large part of the practice. This contrast between very high volume of ultrasound guidance and limited thrombectomy/stent volume may reflect a procedural mix weighted toward access maintenance and angioplasty rather than frequent complex thrombotic reconstructions.

    Tenure in the NPI file is long — the provider was enumerated on 2005-07-29 (~21 years ago) — which supports a stable, established presence in the market. For payers and provider network analysts, this longevity combined with concentrated Medicare activity signals an experienced interventionalist whose practice patterns are likely consistent over time.

    Where national rank indicates modest participation, the majority of the provider’s CPTs fall in typical or unremarkable volume percentiles (many codes described as "typical, unremarkable volume" across their rank ranges). This suggests that outside of a few high‑volume support and supervision codes, the provider operates at expected volumes for a vascular & interventional radiology physician rather than dominating a wide set of procedure lines.

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37225N/A50$6,710$362.1K
    37229N/A20$7,720$185.2K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…120$1,070$124.6K
    36906Under fluoroscopic guidance (live X–rays which can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…10$4,900$58.8K
    37221N/A20$2,360$40.1K
    37228N/A10$2,920$35K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…30$860$22.2K
    36247Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…20$1,190$20.2K
    36907During a primary procedure on a patient's dialysis circuit, the provider finds an obstructedcentralsegment, which he dilates and opens up using a balloon expanded within the vessel lumen (channel).…30$520$16.2K
    75774Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…170$80$13.6K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722511050$6,260$325.3K
    3722921030$7,910$221.4K
    36902210170$1,070$179.7K
    3690621020$4,780$90.8K
    3722111020$2,360$40.1K
    3722811010$2,920$35K
    3624721020$1,100$26.4K
    992145290140$90$25.7K
    3725211030$860$22.2K
    3690721040$510$21.1K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carilion Medical CenterVAMulti-Specialty Clinic/Center$0$73.4M
    Carilion Healthcare CorporationVAMulti-Specialty Clinic/Center$0$26.1M
    Carilion Medical CenterVAEmergency Medicine Physician$0$18.1M
    Carilion Tazewell Community HospitalVAGeneral Acute Care Hospital$0$8M
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Mrunal TailorNMDiagnostic Radiology Physician$897.5K$0
    Matthew HerczykVADiagnostic Radiology Physician$750.5K$47.4K
    Saint Lukes Physician Group IncKSNurse Practitioner$0$586.4K
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Edmund HarrisNJDiagnostic Radiology Physician$421.5K$65.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Robert YangGUDentist$0$2.4M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$1.5M

    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. Guam Distribution
    Jeffery Shay — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam