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    OpenPayerNPI Medicare & MedicaidTatiana Sharahy
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    Tatiana Sharahy — Billing Profile & Reimbursement Data

    NPI 1598889248 · Ridgewood, NJ · Internal Medicine Physician

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    Tatiana Sharahy is a internal medicine physician provider located in Ridgewood, New Jersey. This profile covers 34 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
    OrganizationTatiana Sharahy
    Address1144 E Ridgewood Ave
    CityRidgewood
    StateNJ
    ZIP07450
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 19, 2007

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

    Payer SourceTotal Paid
    Medicare$5.7M
    Medicaid$0

    Key Findings

    The provider’s Medicare revenue is overwhelmingly driven by K1034: 465.6K claims, $12 avg paid/claim, $5.6M revenue (96.8% of this provider's total Medicare revenue). This single code accounts for nearly the entirety of billed Medicare services and indicates the operation is primarily provisioning COVID-19 nonprescription self-administered tests rather than generating most revenue from traditional office-based E/M visits or chronic care management.

    Precomputed concentration shows the top 3 Medicare codes account for 97.6% of total Medicare revenue, signaling extreme revenue concentration in a very small code set. That level of concentration suggests the practice’s financial performance on Medicare is highly sensitive to utilization or reimbursement changes tied to those top codes.

    Medicare is effectively the sole public payer for this provider: lifetime Medicare revenue is $5.7M while there is no Medicaid billing on file. The absence of any Medicaid activity indicates a single-payer dependency on Medicare for public-program revenue rather than a balanced Medicare/Medicaid payer mix.

    Competitive standing for K1034 is extraordinary: the provider ranks #83 of 30143 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). By contrast, routine E/M codes are modest contributors — for example, 99214 shows 219 claims, $108 avg paid/claim, $23.7K revenue (0.4% of total) and ranks #139691 of 479517 providers nationally (71th percentile; typical, unremarkable volume) — indicating national dominance in the COVID-test code but ordinary participation in office visit care.

    The code mix beyond K1034 shows a substantive ancillary services footprint: notable volumes in procedures such as 20553 (276 claims, $54 avg paid/claim, $14.9K revenue; ranks #133 of 4042 nationally, 97th percentile; notably above typical) and 76942 (262 claims, $52 avg paid/claim, $13.6K revenue; ranks #172 of 13333 nationally, 99th percentile; notably above typical). These patterns point to service lines including trigger point injections, diagnostic ultrasonography guidance, and other procedure-based interventions in addition to test provisioning.

    Several electrodiagnostic and rehabilitation-related codes appear regularly but at much smaller revenue shares (examples: 95886 — 172 claims, $88 avg paid/claim, $15.1K revenue; 95913 — 31 claims, $255 avg paid/claim, $7.9K revenue). While each of these codes contributes only a small share of Medicare revenue, their presence suggests the provider offers multi-modal diagnostic and musculoskeletal/pain management services alongside testing.

    Tenure and professional specialty support the profile: NPI enumerated 2007-03-19 (~19 years ago) and taxonomy is Internal Medicine Physician located in RIDGEWOOD, NJ. The long enumeration period indicates an established practice, but the current Medicare revenue profile is atypical for a general internal medicine practice because revenue is dominated by a single testing code.

    From an operational and payer-risk perspective, reliance on K1034 (96.8% of Medicare revenue) and top-3 code concentration (97.6% of Medicare revenue) creates vulnerability to changes in Medicare policy or demand for COVID-19 nonprescription self-tests. Analysts and payers should flag this provider as highly specialized in COVID test provisioning at Medicare scale and monitor reimbursement policy and utilization trends for those specific codes.

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count465,620$10$5.6M
    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…220$110$23.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…240$80$17.8K
    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…120$130$15.9K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…170$90$15.1K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…280$50$14.9K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…260$50$13.6K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…30$360$10.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.160$60$9.2K
    95913In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…30$260$7.9K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    83013610140$60$55.4K
    K103421,010760$10$33.9K
    992144,95313,640130$90$23.6K
    992133,57014,090100$70$13.1K
    958169313050$160$11.8K
    978141630230$30$11.4K
    364151,0212,200110$10$11.1K
    978112240250$20$10.6K
    978103050190$30$9.1K
    978131830130$40$9K

    Showing 1–10 of 34

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Life Opportunities Unlimited A Non Profit Corp.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.5M
    West Bergen Mentalhealthcare, IncNJMental Health Counselor$0$20.9M
    West Bergen Mental Healthcare, Inc.NJClinic/Center$0$8.4M
    Larisa KaysermanNJOphthalmology Physician$3.1M$0
    Robert VallarNJOphthalmology Physician$1.7M$0
    Song Eun LeeNJOphthalmology Physician$1.5M$0
    Rony GelmanNJRetina Specialist (Ophthalmology) Physician$754.3K$0
    Kenneth LevinNJNeurology Physician$590.2K$0
    Bradford LivaNJRetina Specialist (Ophthalmology) Physician$578.4K$0
    Tina SichrovskyNJClinical Cardiac Electrophysiology Physician$507.1K$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.

    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
    Tatiana Sharahy — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey