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    v1.0.28
    OpenPayerNPI Medicare & MedicaidChetan Shah
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    Chetan Shah — Billing Profile & Reimbursement Data

    NPI 1750306734 · Lawrenceville, NJ · Otolaryngology Physician

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    Chetan Shah is a otolaryngology physician provider located in Lawrenceville, New Jersey. 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
    OrganizationChetan Shah
    Address3100 Princeton Pike Bldg 4
    CityLawrenceville
    StateNJ
    ZIP08648
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$203.5K
    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
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.450$160$72.6K
    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…640$100$64.3K
    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…110$130$14.2K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…60$160$9.7K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…250$30$8.6K
    87631The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…60$140$8.2K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.1,450$1$5.8K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.160$30$5K
    99203The provider sees a new 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 provider…50$80$4K
    92588The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…120$30$3.2K

    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
    8779835401,760$30$284.3K
    87631185030$140$47.7K
    3123113230120$160$25.5K
    992141,35113,640130$90$23.6K
    876402130140$30$18.5K
    874861320190$30$15.5K
    31579173070$170$14.2K
    95004651401,330$1$7.2K
    992047057,16040$130$6.5K
    992032,2405,66040$80$4.8K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roel GalopeNJSpecialist$1.9M$0
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Wadie TomaNJRheumatology Physician$1.4M$980
    Kathy LoNJRadiation Oncology Physician$1.2M$0
    David ZelmanNYDiagnostic Radiology Physician$580.2K$563.4K
    Mark DeckerNYDiagnostic Radiology Physician$962K$141.1K
    Rosemarie DesantisNJRheumatology Physician$1.1M$0
    Gary TubmanNYDiagnostic Radiology Physician$617.9K$447.2K
    Menachem GoldNYDiagnostic Radiology Physician$207.7K$852.7K
    David CioconNJMOHS-Micrographic Surgery Physician$843.5K$5.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wishing Well Adult Day Health Care, LLCNJNursing Facility/Intermediate Care Facility$0$30.5M
    Oaks Integrated CareNJAdult Mental Health Clinic/Center$0$7.7M
    Kekul ShahNJOphthalmology Physician$2.4M$0
    Darmakusuma IeNJOphthalmology Physician$2M$0
    Medlife Diagnostic LaboratoriesNJClinical Medical Laboratory$500.9K$1.2M
    Joshua MaliNJRetina Specialist (Ophthalmology) Physician$1.5M$0
    Angana ShahNJOphthalmology Physician$1.1M$0
    Kimberly PalangioNJEpilepsy Physician$641.7K$0
    Edita SurblieneNJNurse Practitioner$451.9K$0
    Manuel VergaraNJEpilepsy Physician$432.5K$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.

    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. New Jersey Distribution
    Chetan Shah — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey