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 New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Lopa Shah (NPI 1801893292)

Field	Value
Entity Type	Individual
Organization	Lopa Shah
Address	300 2nd Ave
City	Elizabeth
State	NJ
ZIP	07206
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicare	$50K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	190	$100	$19.4K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	130	$130	$16.3K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	80	$110	$9.1K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	50	$110	$5.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Lopa Shah — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00811	26	810	20	$90	$4K
00812	110	460	20	$90	$3.5K
00731	63	1,050	20	$90	$3.2K
00813	9	450	20	$100	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stacey Longo	NJ	Clinical Pathology/Laboratory Medicine Physician	$2M	$410
Jasminka Balderacchi	NY	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Karabi Sinha	NJ	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Hadia Ata	NJ	Anatomic Pathology & Clinical Pathology Physician	$1.8M	$0
Dharam Mann	NJ	Specialist	$1M	$0
Yatinder Bains	NJ	Gastroenterology Physician	$194.2K	$435.4K
Rongshan Li	PA	Anatomic Pathology & Clinical Pathology Physician	$568.8K	$18.7K
Stanley Chou	CA	Pain Medicine (Anesthesiology) Physician	$381.2K	$0
Aqeel Ahmed	NY	Anatomic Pathology & Clinical Pathology Physician	$297.4K	$0
Vishal Jain	NJ	Gastroenterology Physician	$214.8K	$64.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinitas Regional Medical Center	NJ	General Acute Care Hospital	$0	$12M
Caroline Murray	NJ	Psychiatric/Mental Health Nurse Practitioner	$122.5K	$0
Stephen Grelecki	NJ	Psychiatry Physician	$104.5K	$0

Lopa Shah — Billing Profile & Reimbursement Data

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Lopa 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