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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHimanshu Shah
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    Himanshu Shah — Billing Profile & Reimbursement Data

    NPI 1578666764 · Millburn, NJ · Pulmonary Disease Physician

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    Himanshu Shah is a pulmonary disease physician provider located in Millburn, New Jersey. This profile covers 18 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
    OrganizationHimanshu Shah
    Address96 Millburn Ave
    CityMillburn
    StateNJ
    ZIP07041
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedSeptember 6, 2006

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

    Payer SourceTotal Paid
    Medicare$183K
    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.

    18 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…570$110$61K
    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…430$100$42.2K
    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…170$150$25.7K
    95800A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.80$140$11.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…130$70$8.9K
    99204The provider sees a new 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 provider…60$150$8.2K
    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…40$150$6.2K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$120$5.4K
    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…20$200$3.9K
    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.160$20$2.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,67013,640130$90$23.6K
    992336614,270110$100$22.5K
    992323,0446,220120$70$18.4K
    8763518526030$50$14.5K
    9921313,59714,090100$70$13.1K
    992154683,75040$140$12K
    992232,7814,98050$140$11.8K
    992221,6684,37040$110$6.7K
    992042,2307,16040$130$6.5K
    992051,2281,97030$170$6.5K

    Showing 1–10 of 18

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Comprehensive LaboratoryNJClinical Medical Laboratory$882K$2.7M
    Vatsal DoshiNJRetina Specialist (Ophthalmology) Physician$2.2M$130
    Yael MillerNJPediatrics Physician$1.2M$0
    Boleslav KotlyarNJRetina Specialist (Ophthalmology) Physician$958.1K$0
    Patrick CoadyNJOphthalmology Physician$728.9K$0
    Yatinder BainsNJGastroenterology Physician$194.2K$435.4K
    Short Hills Surgery Center, LLCNJAmbulatory Surgical Clinic/Center$504.1K$0
    Jeanine DalyNJDermatology Physician$241.4K$0
    Eric SiegelNJDermatology Physician$219.6K$0
    Silvio QuagliaNJAdolescent Medicine (Internal Medicine) Physician$215.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Himanshu Shah — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey