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NPI 1659411353 · Springvalley, NY · Internal Medicine Physician
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Vikram Shah is a internal medicine physician provider located in Springvalley, New York. This profile covers 29 Medicare and 20 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 | Vikram Shah |
| Address | 7 South Madison Avenue |
| City | Springvalley |
| State | NY |
| ZIP | 10977 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | February 8, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $830.8K |
| Medicaid | $131.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 8,110 | $70 | $551.5K |
| 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… | 830 | $120 | $96.7K |
| 99213 | The 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… | 520 | $80 | $42.7K |
| 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… | 140 | $160 | $22.2K |
| 99316 | The provider sees a patient for nursing facility discharge management requiring more than 30 minutes. | 170 | $120 | $19.9K |
| 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… | 120 | $170 | $19.8K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | $140 | $9.2K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 480 | $20 | $7.7K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 480 | $10 | $6.2K |
| 99212 | The 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,… | 120 | $50 | $6K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
29 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 10 | 2,360 | 250 | $60 | $44.9K |
| 99214 | 1,136 | 30,450 | 90 | $100 | $19K |
| 99306 | 305 | 1,060 | 60 | $150 | $16.6K |
| 99213 | 2,328 | 31,440 | 80 | $70 | $12.1K |
| G0439 | 2,714 | 6,290 | 50 | $130 | $11.2K |
| 99215 | 1,111 | 8,280 | 40 | $140 | $10.1K |
| 84443 | 124 | 1,510 | 90 | $20 | $7.9K |
| 80061 | 157 | 1,460 | 120 | $10 | $7.3K |
| 99316 | 39 | 620 | 40 | $110 | $6.1K |
| 99212 | 1,202 | 7,850 | 30 | $40 | $3.6K |
Showing 1–10 of 29
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 4,130 | $20 | $66K |
| 99213 | The 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… | 4,080 | $10 | $36.7K |
| 99212 | The 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,… | 1,490 | $10 | $8.9K |
| 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… | 280 | $30 | $7K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 1,250 | $1 | $1.3K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 1,210 | $1 | $1.2K |
| 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… | 130 | $10 | $930 |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 460 | $1 | $910 |
| G0008 | Administration of influenza virus vaccine | 460 | $1 | $910 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 240 | $1 | $720 |
Showing 1–10 of 20
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
20 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 3,047 | 19,110 | 360 | $70 | $321K |
| 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… | 1,245 | 16,550 | 220 | $90 | $186.8K |
| 99212 | The 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,… | 1,179 | 5,420 | 210 | $70 | $154.3K |
| 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… | 579 | 2,050 | 90 | $140 | $121.2K |
| 99204 | The 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… | 3,494 | 3,820 | 100 | $130 | $99.7K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 229 | 410 | 1,970 | $10 | $81.9K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 229 | 570 | 470 | $10 | $80.8K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 757 | 1,420 | 300 | $20 | $38.8K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 382 | 850 | 960 | $1 | $36.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,382 | 5,090 | 450 | $10 | $35.9K |
Showing 1–10 of 20
Other providers in the same ZIP code as Vikram Shah, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hamaspik Care, Inc. | NY | Home Health Agency | $0 | $274.1M |
| Marquis Home Care, LLC | NY | Home Health Agency | $0 | $146.8M |
| Refuah Health Center Inc | NY | Federally Qualified Health Center (FQHC) | $0 | $115.1M |
| Yedei Chesed Inc | NY | Child Intellectual and/or Developmental Disabilities Respite Care | $0 | $25.5M |
| Spring Hill Comm Ambulance Co | NY | Ambulance | $719K | $3.1M |
| Juan Espaillat | NY | General Practice Dentistry | $188.1K | $245.9K |
| Mitchell Trestman | NY | Physical Therapist | $338.3K | $0 |
| Jerrold Schwartz | NY | Internal Medicine Physician | $51.6K | $0 |
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