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 & MedicaidShan Abbas
    Ask Trek AI about this page

    Shan Abbas — Billing Profile & Reimbursement Data

    NPI 1730362674 · Grand Rapids, MI · Epilepsy Physician

    Customize your policy alerts

    Sign up for Shan Abbas — 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.

    Shan Abbas is a epilepsy physician provider located in Grand Rapids, Michigan. This profile covers 6 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
    OrganizationShan Abbas
    Address275 Michigan St Ne
    CityGrand Rapids
    StateMI
    ZIP49503
    TaxonomyEpilepsy Physician
    NPI EnumeratedDecember 13, 2007

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

    Payer SourceTotal Paid
    Medicare$55.8K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95713The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 2 to 12 hours with continuous, real–time monitoring and maintenance. A video recording is made,…40$500$18.3K
    95720A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…90$150$13.4K
    95718A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…130$100$12.7K
    95700The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…40$180$6.7K
    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…30$80$2.4K
    99204The 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…20$120$2.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,05415,47080$80$11.4K
    9571311010$480$10.5K
    95720126060$160$10.1K
    992044,2126,28030$110$4.2K
    9571814030$100$3.7K
    9570011020$170$3.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health Primary Care PartnersMIInternal Medicine Physician$0$219.9M
    Bronson Methodist HospitalMIGeneral Acute Care Hospital$0$109.1M
    Bronson Methodist HospitalMIHospitalist Physician$0$64.8M
    Munson Medical CenterMIGeneral Acute Care Hospital$0$44.1M
    Bronson Battle Creek HospitalMIGeneral Acute Care Hospital$0$43.9M
    Lakeland Medical PracticesMIInternal Medicine Physician$0$20.9M
    Spectrum Health Primary Care PartnersMIUrgent Care Clinic/Center$0$14.5M
    Goshen Health System IncINFamily Medicine Physician$0$12M
    Lakeland Community Hospital WatervlietMIGeneral Acute Care Hospital$0$9.8M
    Bronson Battle Creek HospitalMIInternal Medicine Physician$0$9.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health HospitalsMIGeneral Acute Care Hospital$0$243.2M
    Kent County Cmh AuthorityMICommunity/Behavioral Health Agency$0$97.6M
    Saint Mary's Health ServicesMIGeneral Acute Care Hospital$0$92M
    Cancer & Hematology Centers Of Western Mi, P.C.MISpecialist$0$59.5M
    Cherry Street Services, Inc.MIFederally Qualified Health Center (FQHC)$0$50.9M
    Ecs Western Michigan PCMIEmergency Medicine Physician$0$50.6M
    Neo Natal Associates PlcMINeonatal-Perinatal Medicine Physician$0$27.7M
    Spectrum Health HospitalsMIHospitalist Physician$0$25.2M
    Life Ems IncMILand Ambulance$3.1M$22M
    Cherry Street Services, Inc.MIFederally Qualified Health Center (FQHC)$0$24.6M

    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. Michigan Distribution
    Shan Abbas — 3 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan