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NPI 1639134828 · Las Vegas, NV · Cardiovascular Disease Physician
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Shahabuddin Khan is a cardiovascular disease physician provider located in Las Vegas, Nevada. This profile covers 41 Medicare and 11 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Shahabuddin Khan |
| Address | 3150 N Tenaya Way |
| City | Las Vegas |
| State | NV |
| ZIP | 89128 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | April 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $67.1K |
This practice’s revenue mix and code profile indicate a clear cardiac specialty operation centered on intensive cardiac rehabilitation and advanced cardiac imaging. Medicare billing is dominated by intensive cardiac rehabilitation codes G0422 (9.5K claims, $895.3K revenue) and G0423 (1.4K claims, $134.8K revenue) alongside myocardial perfusion PET imaging such as 78492 (79 claims, $89.2K revenue) and radiopharmaceuticals like A9555 (146 claims, $59.6K revenue), which together point to an integrated rehab-plus-imaging service line rather than a general primary care practice.
Revenue concentration on Medicare is very high: precomputed data show the top 3 Medicare codes by revenue account for 66.0% of total Medicare revenue, with G0422 alone representing 52.8% of the provider’s Medicare book ($895.3K). This concentration suggests the practice’s financial performance is heavily dependent on a small set of cardiac rehab and imaging services.
On Medicare this provider occupies an unusually dominant position for intensive cardiac rehabilitation: G0422 ranks #1 of 91 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). At the same time, the provider reports notably above-typical volume for higher-complexity office visits (99214, 923 claims, $81.2K revenue; 97th percentile; notably above typical national volume), which supports a combination of high-touch clinic visits alongside high-volume rehab sessions.
The practice also shows a robust remote monitoring and chronic care management footprint on Medicare, with high claim counts for RPM and care-coordination codes such as 99457 (1.4K claims, $52.2K revenue), 99454 (761 claims, $29.7K revenue), 99490 (688 claims, $33K revenue), and 99439 (713 claims, $26.4K revenue). Several of these codes are at or near the top national percentiles (for example 99457 ranks #206 of 6044 providers, 97th percentile), indicating an operational emphasis on remote physiologic monitoring and structured care-management programs.
Medicaid revenue is much smaller in scale and also concentrated by procedure: total Medicaid revenue is $67.1K and precomputed results show the top 3 Medicaid codes by revenue account for 72.8% of that total. Those top Medicaid drivers are 99215 (184 claims, $25.6K, 38.0%), 93306 (124 claims, $16.9K, 25.1%), and 78452 (12 claims, $6.6K, 9.8%), signaling that Medicaid receipts come mainly from high-complexity office visits and echocardiographic/SPECT imaging.
The payer mix is heavily Medicare-dominated: total Medicare revenue is $1.7M versus Medicaid revenue of $67.1K, so the provider’s commercial and operational positioning is effectively anchored to Medicare volumes and reimbursement. Medicaid appears to be a modest, secondary revenue stream and is unlikely to drive core strategic decisions for this provider based on the scale difference reported.
By state-level competitive measures, the provider is not a leading Medicaid performer: 99215 ranks #130 of 363 in-state (64th percentile) and 93306 ranks #102 of 174 in-state (42nd percentile), with 78452 at #50 of 51 in-state (0th percentile), indicating modest to below-average presence in Nevada Medicaid for these services. That contrasts with national dominance for the Medicare-intensive cardiac rehab code, underscoring asymmetric competitive standing across payers.
The provider has an established clinical tenure (NPI enumerated 2006-04-19 (~20 years ago)), which, combined with the concentrated, high-volume cardiac rehab and imaging mix, suggests a long-running, specialized practice infrastructure supporting both high-frequency rehab sessions and advanced diagnostic imaging. This longevity plus the concentrated service set implies operational stability but also financial sensitivity to utilization or reimbursement changes affecting the top cardiac rehab and imaging codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
41 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0422 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session | 9,520 | $90 | $895.3K |
| G0423 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session | 1,430 | $90 | $134.8K |
| 78492 | In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes… | 80 | $1,130 | $89.2K |
| 99214 | The 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… | 920 | $90 | $81.2K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 150 | $410 | $59.6K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 1,370 | $40 | $52.2K |
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 80 | $660 | $50.5K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 430 | $110 | $46K |
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 30 | $1,450 | $45.1K |
| A9526 | Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries | 80 | $580 | $43.4K |
Showing 1–10 of 41
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
41 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0422 | 1 | 10 | 5,180 | $90 | $489.7K |
| A9526 | 7 | 10 | 90 | $580 | $168.3K |
| 78492 | 8 | 20 | 40 | $980 | $107.9K |
| G0423 | 1 | 10 | 1,130 | $90 | $107.4K |
| A9555 | 8 | 30 | 60 | $410 | $90.5K |
| 78431 | 23 | 40 | 30 | $1,050 | $88.2K |
| 93229 | 15 | 50 | 30 | $660 | $56.3K |
| 99233 | 683 | 1,150 | 150 | $90 | $26.8K |
| 99232 | 583 | 1,340 | 140 | $60 | $23.7K |
| 93306 | 46 | 250 | 190 | $90 | $22.5K |
Showing 1–10 of 41
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 180 | $140 | $25.6K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 120 | $140 | $16.9K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 10 | $550 | $6.6K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,500 | $1 | $6K |
| 99233 | The 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… | 30 | $100 | $2.8K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 10 | $210 | $2.6K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 10 | $210 | $2.5K |
| 99214 | The 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… | 20 | $90 | $1.4K |
| 93000 | The 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… | 80 | $20 | $1.2K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 10 | $70 | $870 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99233 | The 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… | 432 | 470 | 380 | $70 | $281.2K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 50 | 50 | 120 | $240 | $209.3K |
| 99214 | The 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… | 2,099 | 2,250 | 290 | $60 | $138K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 102 | 170 | 180 | $80 | $120.5K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 28 | 30 | 90 | $60 | $39.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 130 | 360 | 90 | $70 | $28.2K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 40 | 210 | 200 | $1 | $21.9K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 192 | 200 | 60 | $120 | $19.9K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 29 | 30 | 60 | $30 | $19.6K |
| 93000 | The 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… | 144 | 230 | 150 | $10 | $10.6K |
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Other providers in the same ZIP code as Shahabuddin Khan, ranked by combined Medicare and Medicaid revenue.
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