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    OpenPayerNPI Medicare & MedicaidManish Shukla
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    Manish Shukla — Billing Profile & Reimbursement Data

    NPI 1619983558 · Chicago, IL · Family Medicine Physician

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    Manish Shukla is a family medicine physician provider located in Chicago, Illinois. This profile covers 9 Medicare and 52 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationManish Shukla
    Address3943 W 31st St
    CityChicago
    StateIL
    ZIP60623
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.8M
    Medicare$39.6K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…340$50$18.3K
    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…80$90$7.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…170$40$6.8K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…80$40$2.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit10$130$1.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.120$10$960
    99203The provider sees a new 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 provider…10$60$660
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…50$10$540
    94640The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…20$10$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,08218,540110$80$17.1K
    G04393,7754,03070$130$13.6K
    992131,82417,39070$60$8.8K
    992035,6316,15030$70$3.8K
    364151,7504,18090$10$2.7K
    874262136020$30$2.4K
    992122923,95030$40$2.4K
    930001,0112,44040$10$1.2K
    946403113020$10$690

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    52 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…44,540$50$2.1M
    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…5,190$70$383.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…12,460$30$311.4K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.3,380$90$297.8K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…6,080$40$219K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.1,980$80$158.2K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.450$90$39K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…340$80$27.1K
    90734The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…1,670$10$21.7K
    86580The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.4,290$10$21.4K

    Showing 1–10 of 52

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    52 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…43514,680300$50$48.7K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…7121,380370$40$46.2K
    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…5614,190280$20$38.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…74190160$60$37.3K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients1,2461,300360$20$35.1K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.1511,670160$40$26.4K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.431,590110$40$21.4K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…12910110$30$14.4K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.16272090$30$12.1K
    0002AN/A9536040$40$11.3K

    Showing 1–10 of 52

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$40M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$28.9M
    Russell FiorellaILClinical Pathology/Laboratory Medicine Physician$4K$17.3M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$16.5M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Michael AppiagyeiILInternal Medicine Physician$52.7K$5.1M
    Ayman JabrILFamily Medicine Physician$193.6K$4.3M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$4.5M
    Anuj JainILFamily Medicine Physician$140.8K$3.9M
    Shephali PatelILPsychiatry Physician$186.4K$3.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lawndale Christian Health CenterILFederally Qualified Health Center (FQHC)$0$103.6M
    Pilsen-little Village Community Mental Health Center, Inc.ILSubstance Use Disorder Rehabilitation Clinic/Center$0$15M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$12.6M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$5M
    Saint Anthony HospitalILGeneral Acute Care Hospital$0$4.4M
    Walter PerezILPediatrics Physician$0$3.8M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$3.8M
    Jaideep AtwalILDentist$0$3.5M
    Cook CountyILPrimary Care Clinic/Center$0$3.3M
    Prasod RamachandranILOptometrist$0$2.9M

    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. Illinois Distribution
    Manish Shukla — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Manish Shukla — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois