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    OpenPayerNPI Medicare & MedicaidNathaniel Shalom
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    Nathaniel Shalom — Billing Profile & Reimbursement Data

    NPI 1821412305 · Hagerstown, MD · Diagnostic Radiology Physician

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    Nathaniel Shalom is a diagnostic radiology physician provider located in Hagerstown, Maryland. 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
    OrganizationNathaniel Shalom
    Address11116 Medical Campus Rd
    CityHagerstown
    StateMD
    ZIP21742
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedFebruary 5, 2014

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

    Payer SourceTotal Paid
    Medicare$474.7K
    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
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…230$1,270$296.9K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…70$1,280$84.6K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie100$450$45.8K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries280$110$32.1K
    78582In this diagnostic procedure, the provider performs both pulmonary ventilation and perfusion imaging in a nuclear scan test that evaluates the circulation of air and blood within the patient’s lungs.80$40$3.1K
    78832The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…40$80$2.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…30$60$1.8K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…50$30$1.5K
    78264The provider images the stomach after the patient consumes a liquid, solid, or semisolid meal that has a radiopharmaceutical or tracer added to it. The provider then takes immediate and ongoing…50$30$1.4K
    78803The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.…30$40$1.2K

    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
    7881537110110$830$173.4K
    A95952540290$510$169.9K
    7883231050$410$85.4K
    7845225631080$330$36.9K
    78816146030$770$35.5K
    A9552168090$110$19.5K
    71045413420500$10$7.6K
    7822762030$150$5.7K
    7880362020$130$5.6K
    78315182020$180$4.7K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Practices Of Antietam, LLCMDGeneral Practice Physician$0$20.5M
    Meritus Medical Laboratory LLCMDClinical Medical Laboratory$3.4M$12.1M
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Jason DittrichMDVascular & Interventional Radiology Physician$810.7K$0
    Christopher VaccariMDCardiovascular Disease Physician$675.1K$0
    Jong KimMDSpecialist$597.6K$0
    Ernest AmegashieMDCardiovascular Disease Physician$588.2K$130
    Dean NotabartoloMDCardiovascular Disease Physician$545K$0
    Jeffrey JonesMDCardiovascular Disease Physician$499.8K$0
    Nina GordonMDDiagnostic Radiology Physician$496.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brook Lane Behavioral Services, Inc.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$14.5M
    Meritus Urgent Care, LLCMDUrgent Care Clinic/Center$0$4.9M
    William SuMDVascular Surgery Physician$1.4M$0
    Syed MahmoodMDMedical Oncology Physician$1M$0
    Sarim MirMDNeurology Physician$801.3K$0
    Meridian Surgery Center LLCMDAmbulatory Surgical Clinic/Center$614.4K$0
    Hagerstown Surgery Center,llcMDAmbulatory Surgical Clinic/Center$559K$28.4K
    Thomas GilbertMDEmergency Medicine Physician$556.7K$0
    Joseph HolobinkoMDOrthopaedic Surgery Physician$481.6K$0
    Oliver ChenMDDiagnostic Radiology Physician$473.5K$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. Maryland Distribution
    Nathaniel Shalom — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland