Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lily Shah (NPI 1790970069)

Field	Value
Entity Type	Individual
Organization	Lily Shah
Address	3912 Trindle Road
City	Camp Hill
State	PA
ZIP	17011
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	September 10, 2007

Payer Source	Total Paid
Medicare	$357.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	11,340	$20	$215.5K
99214	The 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…	470	$90	$41.6K
J1437	Injection, ferric derisomaltose, 10 mg	1,300	$20	$22.1K
J1439	Injection, ferric carboxymaltose, 1 mg	17,250	$1	$17.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	130	$90	$11.8K
J9395	Injection, fulvestrant, 25 mg	1,000	$10	$8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$130	$6.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	580	$10	$4.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	580	$10	$4.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$170	$4.5K

Showing 1–10 of 40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Lily Shah — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

40 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	48	530	2,460	$20	$89.6K
J1437	55	60	3,050	$20	$52.3K
J1439	43	60	27,000	$1	$36K
J3490	98	110	60	$70	$27.9K
J0885	29	30	2,870	$10	$25K
80053	79	220	110	$10	$21.6K
96413	157	300	140	$100	$19.8K
99214	1,956	23,230	100	$80	$14.5K
99215	2,834	7,170	40	$120	$8.6K
85025	92	420	100	$10	$8.4K

Showing 1–10 of 40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Milton S. Hershey Medical Center Physicians Group	PA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$0	$26.6M
Michael Morris	MD	Diagnostic Radiology Physician	$12M	$0
Penn State Health Medical Group, LLC	PA	Pediatrics Physician	$0	$7.7M
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Pejman Rohani	MD	Vascular Surgery Physician	$1M	$0
John Dellabadia	NC	Neurology Physician	$232.2K	$808.8K
Joshua Shipley	PA	Hematology & Oncology Physician	$739.9K	$0
Jihua Cheng	PA	Hematology & Oncology Physician	$685.8K	$0
Kumudini Rao	PA	Hematology & Oncology Physician	$444K	$0
Kok Chye Tan	CA	Neuroradiology Physician	$401.1K	$13.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstaffers, LLC	PA	Home Health Agency	$0	$15.1M
Penn State Health Holy Spirit Medical Center	PA	General Acute Care Hospital	$0	$10.2M
Penn State Health Life Lion, LLC	PA	Ambulance	$2.4M	$6.9M
Shadai Healthcare Services LLC	PA	Home Health Agency	$0	$9.2M
Lawrence Ho	PA	Ophthalmology Physician	$3M	$4.1K
Maxwell Stem	PA	Ophthalmology Physician	$2.9M	$31.9K
Steven Truong	PA	Ophthalmology Physician	$2.7M	$11.5K
Paul Baker	PA	Ophthalmology Physician	$2.4M	$3.3K
Michael Banach	PA	Ophthalmology Physician	$2.1M	$5.1K
Tahsin Khundkar	PA	Ophthalmology Physician	$1.5M	$0

Lily Shah — Billing Profile & Reimbursement Data

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Lily Shah — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References