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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShital Pema
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    Shital Pema — Billing Profile & Reimbursement Data

    NPI 1780640995 · Kettering, OH · Primary Podiatric Medicine Podiatrist

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    Shital Pema is a primary podiatric medicine podiatrist provider located in Kettering, Ohio. This profile covers 22 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
    OrganizationShital Pema
    Address4441 Far Hills Ave
    CityKettering
    StateOH
    ZIP45429
    TaxonomyPrimary Podiatric Medicine Podiatrist
    NPI EnumeratedApril 25, 2006

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

    Payer SourceTotal Paid
    Medicare$119.9K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…250$120$28.9K
    99213The 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…450$60$26.2K
    14350The provider replaces the affected site with a finger or toe fillet flap, which helps the affected site to regain its function.30$490$15.7K
    28122In this procedure, the provider removes the infected portion of the tarsal or metatarsal bone, not including the talus or calcaneus, using craterization, saucerization, or diaphysectomy.20$300$5.4K
    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…80$70$5.4K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…120$40$4.7K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…80$60$4.7K
    28120In this procedure, the provider removes the infected portion of the talus or calcaneus bone using craterization, saucerization, or diaphysectomy.10$350$4.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$60$4K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.80$40$3.4K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1435011030$490$15.7K
    1104378050$140$13.6K
    992335,0405,57070$90$11.2K
    992324,2088,05070$60$8.7K
    2812231020$400$7.7K
    1104229554090$60$7.5K
    9921385120,00070$50$6.6K
    1527552050$100$5.3K
    2812011010$350$4.6K
    1104661070$40$3.7K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lance TigyerOHOrthopaedic Surgery of the Spine Physician$339.8K$0
    Joseph ProtainOHVascular Surgery Physician$268.5K$0
    Justin PerskyPAPodiatrist$204.7K$4.6K
    Hillarie AmburgeyOHFoot & Ankle Surgery Podiatrist$188.3K$0
    Dominic RizzoOHFoot & Ankle Surgery Podiatrist$182.4K$0
    Kimberly AvramautOHFoot & Ankle Surgery Podiatrist$158.2K$0
    Nina KovalenkoPAFoot & Ankle Surgery Podiatrist$104.7K$39.9K
    Nataly YokhanisTXFoot & Ankle Surgery Podiatrist$137.1K$0
    Melinda ScottOHSports Medicine (Family Medicine) Physician$133.1K$0
    Elizabeth BrownOHFoot & Ankle Surgery Podiatrist$37.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$38M
    Kav Health Group LLCOHMental Health Clinic/Center (Including Community Mental Health Center)$0$24.6M
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$20.7M
    Kettering Network Radiologists IncOHDiagnostic Radiology Physician$0$16.1M
    Assisted Care By Black Stone Of Dayton, LLCOHHome Health Agency$0$12.4M
    City Of KetteringOHAmbulance$431.8K$1.1M
    Shahzad FarukhiOHInternal Medicine Physician$69.3K$1.4M
    Eugene KirklandOHDermatology Physician$1.3M$0
    Phillip HallOHMOHS-Micrographic Surgery Physician$651.7K$0
    Jason BallinOHDermatology Physician$578.9K$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. Ohio Distribution
    Shital Pema — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio