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    OpenPayerNPI Medicare & MedicaidShahid Javery
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    Shahid Javery — Billing Profile & Reimbursement Data

    NPI 1871658567 · Parker, CO · Internal Medicine Physician

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    Shahid Javery is a internal medicine physician provider located in Parker, Colorado. This profile covers 9 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
    OrganizationShahid Javery
    Address12230 Lioness Way
    CityParker
    StateCO
    ZIP80134
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 25, 2006

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

    Payer SourceTotal Paid
    Medicare$11.4M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: lifetime Medicare revenue is $11.4M while there is no Medicaid billing on file, so analyses of in‑state Medicaid exposure or dual‑payer mix are not possible from available records. The absence of any Medicaid claims means the practice’s reimbursement and patient-volume dynamics are driven almost entirely by Medicare.

    Revenue is extremely concentrated in a single HCPCS product: Q4253 accounts for $11M in Medicare revenue (97.1% of this provider's total Medicare revenue) and the precomputed top 3 Medicare codes by revenue account for 98.9% of this provider's total Medicare revenue. That concentration implies that changes to coverage, pricing, or utilization for Q4253 would materially affect this provider’s overall Medicare receipts.

    Q4253 (Zenith amniotic membrane, per square centimeter) dominates clinical activity and billing patterns, suggesting substantial use or provision of an amniotic membrane product as a core revenue driver rather than typical primary‑care evaluation/treatment codes. The combination of high Q4253 volume alongside smaller skin substitute codes (15271, 15272) points toward procedure/product‑driven revenue streams—likely wound/ graft product utilization—superimposed on the provider’s Internal Medicine taxonomy.

    Narrow operational footprint in setting of care: several high‑volume codes are nursing‑facility E/M visits (99310, 99306, 99309) and advance care planning (99497), indicating routine provision of skilled nursing facility services and face‑to‑face advance care planning in addition to the dominant product code. These E/M and care‑planning codes together suggest a mixed model with substantial post‑acute or long‑term care engagement.

    The provider is a national outlier on multiple Medicare codes. Q4253 ranks #1 of 73 providers nationally (100th percentile; extreme outlier), and key nursing‑facility E/M codes 99310 and 99306 rank #192 of 12486 (98th percentile; extreme outlier) and #148 of 12836 (99th percentile; extreme outlier) respectively, indicating volumes far above typical national peers for those services. Code 99497 also ranks at the 99th percentile (extreme outlier), reinforcing that several billed services are unusually concentrated compared with national providers.

    Not all billed codes are outliers: 99309 ranks #4756 of 28092 providers nationally (83th percentile; typical, unremarkable volume for this code), 99316 ranks #1799 of 6630 (72th percentile; typical, unremarkable volume), and 15271 ranks #886 of 1157 (23th percentile; typical, unremarkable volume). This mix shows that while a few codes are extreme outliers, other parts of the portfolio reflect expected or below‑peer activity.

    Tenure and potential operational continuity: the NPI was enumerated on 2006-12-25 (~20 years ago), indicating long‑standing Medicare enrollment which may reflect an established referral network and operational model focused on the identified services and product use. Longevity supports the interpretation that the observed billing pattern is persistent rather than transient.

    From a payer‑strategy and risk perspective, dependence on a single high‑revenue HCPCS product plus concentrated SNF E/M activity creates both competitive advantage and vulnerability: the provider ranks at the top nationally for Q4253 and well above peers on multiple codes, which is a strong competitive position, but the absence of Medicaid revenue and the 98.9% concentration in the top three codes expose the practice to reimbursement, coverage, or supply‑chain changes impacting those specific codes.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)22,890$480$11M
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…1,110$120$135.7K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…530$140$76.1K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…770$90$65.3K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…700$60$42.1K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.60$100$5.9K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.40$130$5K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$110$1.9K
    15272At the same session that the provider uses a skin substitute, such as an allograft or xenograft, to cover the wounds on the patient’s trunk, arms, and/or legs up to an area of 100 scm2, the provider…80$20$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42531103,440$520$3.5M
    9930954370220$70$29.6K
    99310326090$110$21.6K
    99306413070$140$18.2K
    15271152070$100$8.9K
    99305608040$100$6K
    993162510030$90$4.3K
    99497141040$50$3.8K
    1527231090$20$2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kirk MitchellCOGeriatric Medicine (Internal Medicine) Physician$27.1M$1M
    Jami GortonCOGerontology Nurse Practitioner$10.3M$0
    Ryan WolfCOPhysician Assistant$4.6M$0
    Summit Medical Consultants PLLCCOInternal Medicine Physician$0$4.1M
    Clayton LabaumeCOSurgical Physician Assistant$1.4M$0
    Nicole DaveyTXRheumatology Physician$1.4M$0
    Justin HoumanCAUrology Physician$696.5K$0
    Samir HadiNVVascular & Interventional Radiology Physician$642.2K$0
    Charles BellowsCOSurgery Physician$637.6K$0
    Leslee AdamsUTFamily Nurse Practitioner$513.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caregivers Village Colorado LLCCOIn Home Supportive Care Agency$0$18.2M
    Prk Williams Inc.COIn Home Supportive Care Agency$0$8M
    Metro Community Provider Network IncCOFederally Qualified Health Center (FQHC)$0$3.8M
    Murtaza AdamCORetina Specialist (Ophthalmology) Physician$2.3M$0
    Cher, LLCCODiagnostic Radiology Physician$517.7K$456.8K
    Milestone Surgical Center LLCCOAmbulatory Surgical Clinic/Center$431.4K$0
    Carl TubbsCOOphthalmology Physician$378.5K$0
    Carl JohnsonCOOphthalmology Physician$342.7K$0
    Vikas ReddyCOFamily Medicine Physician$328.7K$0
    Wendy ArchuletaCOFamily Nurse Practitioner$289.7K$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. Colorado Distribution
    Shahid Javery — 4 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado