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    OpenPayerNPI Medicare & MedicaidAnuj Shah
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    Anuj Shah — Billing Profile & Reimbursement Data

    NPI 1922274190 · Passaic, NJ · Internal Medicine Physician

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    Anuj Shah is a internal medicine physician provider located in Passaic, New Jersey. This profile covers 31 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnuj Shah
    Address293 Passaic St
    CityPassaic
    StateNJ
    ZIP07055
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 7, 2008

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

    Payer SourceTotal Paid
    Medicare$559.1K
    Medicaid$7.4K

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…70$1,230$90.1K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…80$1,000$75.9K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…320$220$71.4K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…370$160$59.6K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…60$790$44.9K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…860$40$33.5K
    99214The 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…280$110$30.6K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…570$50$29.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…120$170$20.3K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…100$170$16.2K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36465144030$1,210$107.3K
    932292913040$750$56.4K
    3647595030$970$50.5K
    93306716990220$100$25.8K
    992143,99413,640130$90$23.6K
    992332,2724,270110$100$22.5K
    99425310200$50$22.1K
    994241310240$70$21.7K
    36247194020$570$13.8K
    9930631385050$150$13.3K

    Showing 1–10 of 31

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…60$50$3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…280$10$2K
    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…30$40$1.3K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…20$70$1.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,9014,450740$40$229.8K
    99214The 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…3,0973,790580$60$204K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…200230300$90$103.3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…417710490$10$25.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$333.3M
    Hackensack Meridian Health Medical Group - Specialty Care PCNJSurgical Critical Care Physician$0$50.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Garden State Healthcare Associates, LLCNJEmergency Medicine Physician$0$13.3M
    Hackensack Meridian Health Medical Group - Complex Care PCNJInternal Medicine Physician$0$11.6M
    Shah Anuj Md PCNJInterventional Cardiology Physician$0$8.8M
    Justin RatcliffeNYInterventional Cardiology Physician$1.8M$266.5K
    Stacey LongoNJClinical Pathology/Laboratory Medicine Physician$2M$410
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Adam DuhlNJMaternal & Fetal Medicine Physician$128.8K$1.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Accredited Health ServicesNJHome Health Agency$0$87.7M
    Prime Healthcare Services - St. Mary's Passaic LLCNJGeneral Acute Care Hospital$0$56.2M
    Passaic Board Of EducationNJLocal Education Agency (LEA)$0$32.7M
    Passaic Pediatrics Ii PANJPediatrics Physician$0$19.9M
    Passaic Pediatrics PANJPediatrics Physician$0$17.6M
    Mer Associates LLCNJAdult Day Care Clinic/Center$0$15.7M
    2nd Home Passaic Operations, LLCNJAdult Day Care Clinic/Center$0$14.5M
    Smile Central Passaic P.C.NJGeneral Practice Dentistry$0$10.6M
    Kindcare Pediatric Center LLCNJPediatrics Physician$0$7.6M
    Prime Healthcare Services - St. Mary's Passaic, LLCNJMental Illness Community Based Residential Treatment Facility$0$7.3M

    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. New Jersey Distribution
    Anuj Shah — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Anuj Shah — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey