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    OpenPayerNPI Medicare & MedicaidShailesh Shetty
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    Shailesh Shetty — Billing Profile & Reimbursement Data

    NPI 1750343620 · Selma, CA · Cardiovascular Disease Physician

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    Shailesh Shetty is a cardiovascular disease physician provider located in Selma, California. This profile covers 35 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
    OrganizationShailesh Shetty
    Address2001 High St
    CitySelma
    StateCA
    ZIP93662
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 5, 2006

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

    Payer SourceTotal Paid
    Medicare$657.8K
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A30$7,240$202.8K
    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…1,480$100$147.5K
    37225N/A30$4,310$107.6K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…420$140$58.9K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…180$160$28.3K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…20$830$14.2K
    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…80$130$10K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…140$60$8.6K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…80$100$8.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$140$6.8K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    372296310040$6,850$493.4K
    372255910030$4,500$261K
    372529012050$730$65.4K
    933066552,400240$110$34.1K
    37253709090$140$26.9K
    992339,41611,530120$100$26.2K
    9921463237,970120$90$23.2K
    9292833837030$420$13.8K
    992236,24213,19050$140$11.3K
    938802512,23040$130$10.7K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reedley Community HospitalCARural Health Clinic/Center$0$138.4M
    Reedley Community HospitalCARural Health Clinic/Center$0$38.6M
    Hanford Community HospitalCAGeneral Acute Care Hospital$0$37.7M
    Fresno Community Hospital And Medical CenterCAGeneral Acute Care Hospital$0$37.6M
    Reedley Community HospitalCARural Health Clinic/Center$0$24.1M
    Reedley Community HospitalCARural Health Clinic/Center$0$22.7M
    Daniel WatrousCARheumatology Physician$4M$5M
    John SaitoCAPediatric Pulmonology Physician$468.7K$6.5M
    Ravi RaoCAHematology & Oncology Physician$6.6M$0
    Dexter EstradaCAHematology & Oncology Physician$5.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Keith ButterfieldCAChiropractor$60.1K$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. California Distribution
    Shailesh Shetty — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California