Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Krupa Shah (NPI 1609978253)

Field	Value
Entity Type	Individual
Organization	Krupa Shah
Address	1000 South Ave # 58
City	Rochester
State	NY
ZIP	14620
Taxonomy	Family Medicine Physician
NPI Enumerated	September 3, 2006

Payer Source	Total Paid
Medicare	$36.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	160	$80	$12.5K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	70	$130	$8.6K
G0317	Prolonged nursing facility 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 of the primary…	340	$20	$7.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	50	$120	$5.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	40	$60	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Krupa Shah — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	1,251	2,150	220	$90	$41.7K
99306	484	1,060	60	$150	$16.6K
99310	291	580	50	$120	$12.6K
99497	1,128	2,060	40	$70	$6.2K
G0317	6	50	60	$20	$3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hillside Childrens Center	NY	Adolescent and Children Mental Health Clinic/Center	$0	$45M
Glidedowan LLC	NY	Home Health Agency	$0	$44.5M
University Of Rochester	NY	General Practice Dentistry	$0	$38.1M
Highland Hospital Of Rochester	NY	General Acute Care Hospital	$0	$30.8M
Matthew Witmer	NY	Retina Specialist (Ophthalmology) Physician	$889.6K	$46K
Edward Hall	NY	Retina Specialist (Ophthalmology) Physician	$736.3K	$8.8K
Brian Connolly	NY	Retina Specialist (Ophthalmology) Physician	$695.8K	$3.2K
Maria Dizhgalvis	NY	Acute Care Nurse Practitioner	$372.2K	$3.8K
Sarah Vanderlinde	NY	Diagnostic Radiology Physician	$236.8K	$90
Jinnah Phillips	NY	Diagnostic Radiology Physician	$134.4K	$0

Krupa Shah — Billing Profile & Reimbursement Data

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Krupa Shah — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References