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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShahin Shahinfar
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    Shahin Shahinfar — Billing Profile & Reimbursement Data

    NPI 1588687743 · Newark, OH · Ophthalmology Physician

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    Shahin Shahinfar is a ophthalmology physician provider located in Newark, Ohio. This profile covers 20 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
    OrganizationShahin Shahinfar
    Address1651 West Main Street
    CityNewark
    StateOH
    ZIP43055
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 26, 2006

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

    Payer SourceTotal Paid
    Medicare$254.9K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…190$390$73.7K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…740$80$57.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.130$230$29.3K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…40$530$21.6K
    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…170$100$17.4K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.100$80$8.5K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.310$30$8.5K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…120$60$7K
    67031The provider uses a laser to remove vitreous material that is obstructing a patient’s vision.30$250$6.3K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…220$20$5.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984278530210$110$92.8K
    67028120150470$90$64K
    J359067100200$100$30K
    669825715030$470$24.9K
    668215336050$180$15.8K
    92014431,390100$70$12.9K
    9921419,00720,010100$70$11.7K
    9201210033050$60$8K
    6703141030$250$6.7K
    921341381,01050$30$6.3K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Surgicenter LtdOHAmbulatory Surgical Clinic/Center$219.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Licking Memorial HospitalOHGeneral Acute Care Hospital$0$55.9M
    Hospice Of Central OhioOHCommunity Based Hospice Care Agency$0$28M
    Licking Memorial Health ProfessionalsOHFamily Medicine Physician$0$23.9M
    Behavioral Healthcare Partners Of Central Ohio IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$14M
    City Of NewarkOHLand Ambulance$505.9K$2M
    Courtesy Ambulance, Inc.OHLand Ambulance$343.3K$1.8M
    Licking CountyOHPublic Health or Welfare Agency$31.4K$524.4K
    Chuck ChoOHRadiation Oncology Physician$314.9K$0
    Thomas PetrykOHFamily Medicine Physician$274.7K$0
    Mark LawOHOphthalmology Physician$258.6K$490

    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. Ohio Distribution
    Shahin Shahinfar — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio