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    OpenPayerNPI Medicare & MedicaidRita Shah
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    Rita Shah — Billing Profile & Reimbursement Data

    NPI 1639156441 · Berkley, MI · Internal Medicine Physician

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    Rita Shah is a internal medicine physician provider located in Berkley, Michigan. This profile covers 15 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
    OrganizationRita Shah
    Address2905 W 12 Mile Rd
    CityBerkley
    StateMI
    ZIP48072
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$72.7K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit160$130$21.1K
    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…190$90$16.7K
    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…170$60$10K
    99497The 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…70$80$5.4K
    99215The 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…40$130$5.1K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes110$30$2.8K
    G0444Annual depression screening, 5 to 15 minutes150$20$2.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.320$10$2.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…20$70$1.7K
    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,…40$40$1.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,66015,47080$80$11.4K
    992132,89114,81060$60$6.6K
    G04392864,10050$100$6.6K
    992151,7174,42030$110$6K
    906621,2621,92040$70$3.9K
    9949726797040$60$3.4K
    G00082,5073,44050$30$2.2K
    G0446105060$30$2K
    992121,0812,75030$40$2K
    364152001,86070$10$1.6K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dinesh ShahMIInternal Medicine Physician$300.3K$0
    Yogesh ModyMIDiagnostic Radiology Physician$21K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cataract Specialty Surgical Center, LLCMIAmbulatory Surgical Clinic/Center$545.2K$0
    Asadulla MohammedMIPulmonary Disease Physician$332.4K$0
    Salim AhmedMIClinical Cardiac Electrophysiology Physician$302K$0
    Steven ShanbomMIOphthalmology Physician$295.1K$0
    Armen KorkigianMIInternal Medicine Physician$289.5K$0
    Olaf KronemanMINephrology Physician$281.4K$0
    Neelum GuptaMIInternal Medicine Physician$263.8K$0
    Brandon WeberMIPhysician Assistant$205K$0
    Sujana GundlapalliMICardiovascular Disease Physician$199.2K$0
    David NoriMIClinical Cardiac Electrophysiology Physician$198.5K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Rita Shah — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan