Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnish Shah
    Ask Trek AI about this page

    Anish Shah — Billing Profile & Reimbursement Data

    NPI 1699790436 · Woodbridge, VA · Nephrology Physician

    Customize your policy alerts

    Sign up for Anish Shah — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Anish Shah is a nephrology physician provider located in Woodbridge, Virginia. This profile covers 27 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnish Shah
    Address14085 Crown Ct
    CityWoodbridge
    StateVA
    ZIP22193
    TaxonomyNephrology Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$617K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…150$930$136.9K
    36907During a primary procedure on a patient's dialysis circuit, the provider finds an obstructedcentralsegment, which he dilates and opens up using a balloon expanded within the vessel lumen (channel).…150$490$73.7K
    37246Using an open incision or a percutaneous (small incision in the skin) approach, the provider places a balloon–tipped catheter into the lumen (interior) of an artery. He expands the balloon as many…60$1,180$64.9K
    36903The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…20$3,300$62.6K
    36906Under fluoroscopic guidance (live X–rays which can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…10$4,660$60.5K
    36905Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…30$1,920$59.4K
    37187In this procedure, the provider treats an occlusion, or blockage, in a vein by using a combined technique of mechanical thrombectomy and pharmacological thrombolytic injection. He also uses…20$1,460$35K
    36909During a primary procedure on a patient's dialysis circuit, the provider finds it necessary to perform permanent endovascular occlusion or embolization to deliberately occlude (block) the dialysis…20$1,730$29.4K
    36215The provider advances a catheter into each first order thoracic or brachiocephalic branch within a vascular family, typically to perform angiography of these arteries.60$460$28.7K
    37248Using an open incision or a percutaneous (small incision in the skin) approach, the provider places a balloon–tipped catheter into the lumen (interior) of a vein (except for the dialysis circuit) and…30$660$17.1K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3690651030$4,950$158.4K
    3690592030$2,190$105.1K
    36902126030$860$71.8K
    3690361020$3,000$69.1K
    3724611020$1,100$28.5K
    36581132020$580$22.6K
    3690732030$310$22.2K
    9921411,15312,890140$80$21K
    3718711020$1,080$19.4K
    3724811030$660$17.1K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Rachel PiechowiakVAVascular & Interventional Radiology Physician$2.4M$0
    Deepak DeshmukhVAVascular Surgery Physician$1.4M$0
    Salman MuftiVADiagnostic Radiology Physician$1.2M$0
    Naren GuptaMAVascular Surgery Physician$1.1M$0
    Metropolitan Vascular Institute LLCMDAmbulatory Surgical Clinic/Center$1.1M$0
    Sandeep SharmaPANephrology Physician$900.7K$0
    Llewellyn LeeTXVascular & Interventional Radiology Physician$834.2K$0
    Donald WilkersonMDVascular Surgery Physician$720.3K$0
    William YuMDNephrology Physician$489.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Insight, Inc.VAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$60.7M
    Blessed Healthcare Professionals, IncVAHome Health Agency$0$29.3M
    Almosthome Residential Services, LLCVADevelopmentally Disabled Services Day Training Agency$0$21.1M
    Assured Health Home Care, IncVAHome Health Agency$0$18.5M
    All Is Well LLCVAHome Health Agency$0$16.3M
    Nova Home Care Connection, LLCVAHome Health Agency$0$14.6M
    1st Option Home Health,llcVAHome Health Agency$0$12M
    The Arc Of Greater Prince William/insightVADevelopmentally Disabled Services Day Training Agency$0$10.7M
    Delicate Home Health Care CorpVAHome Health Agency$0$9M
    Dedicated Care Health Services IncVACase Management Agency$0$6.1M

    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. Virginia Distribution
    Anish Shah — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia