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    OpenPayerNPI Medicare & MedicaidRoopa Shah
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    Roopa Shah — Billing Profile & Reimbursement Data

    NPI 1619396108 · Monroe, NC · Nephrology Physician

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    Roopa Shah is a nephrology physician provider located in Monroe, North Carolina. This profile covers 28 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
    OrganizationRoopa Shah
    Address1640 Campus Park Dr Ste C
    CityMonroe
    StateNC
    ZIP28112
    TaxonomyNephrology Physician
    NPI EnumeratedApril 10, 2014

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

    Payer SourceTotal Paid
    Medicare$137.4K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…190$280$52.2K
    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…200$90$17.4K
    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…100$110$11.4K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.210$40$8.3K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…30$230$6.9K
    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…100$60$6.2K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units820$10$4.9K
    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…50$90$4.2K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…60$60$3.9K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…60$60$3.4K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960116260170$270$46.9K
    839704430050$40$23K
    992145,81518,060110$80$15.1K
    J088536501,180$10$10.1K
    992332,7394,23070$90$10.1K
    9096112724030$220$8.3K
    992322,1935,69070$60$8.1K
    992153,2095,72040$110$7.7K
    9921314,18516,32070$50$7.1K
    364156583,49090$10$6.4K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Garrett WhiteGANephrology Physician$380K$0
    Jeffrey NielsenNCNephrology Physician$252.1K$0
    Douglas NigborNCNephrology Physician$238.9K$0
    Charles StoddardNCNephrology Physician$232.1K$0
    Paul CheifetzNCNephrology Physician$226.3K$0
    Jason BurgessNCSurgery Physician$213.6K$0
    Kimberly YatesNCNephrology Physician$212.1K$0
    Anna MarshallNCNephrology Physician$200.3K$0
    Thomas SmarzNCNephrology Physician$198.3K$0
    Andrew O'connorNCNephrology Physician$197.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$38.1M
    First Care Medical Clinic, PANCInternal Medicine Physician$0$15.5M
    Tema Home Care Services LLCNCIn Home Supportive Care Agency$0$12.5M
    Shoreline Partners LLCNCHome Health Agency$0$8.2M
    Carolinas Union Healthcare, IncNCLand Ambulance$1.5M$4.5M
    John AycockNCOptometrist$39K$938.6K
    Carolina Endoscopy Center MonroeNCAmbulatory Surgical Clinic/Center$475.1K$124.7K
    George PopperNCPsychologist$12.4K$581.5K
    Jens EichhornNCCardiovascular Disease Physician$506.8K$0
    Ivan MacNCOphthalmology Physician$342.8K$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. North Carolina Distribution
    Roopa Shah — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina