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    OpenPayerNPI Medicare & MedicaidJames Shi
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    James Shi — Billing Profile & Reimbursement Data

    NPI 1992112122 · Orange, CA · Body Imaging Physician

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    James Shi is a body imaging physician provider located in Orange, California. This profile covers 32 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
    OrganizationJames Shi
    Address101 The City Dr S
    CityOrange
    StateCA
    ZIP92868
    TaxonomyBody Imaging Physician
    NPI EnumeratedJuly 21, 2014

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

    Payer SourceTotal Paid
    Medicare$112.9K
    Medicaid$68.3K

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.270$70$18.4K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.110$140$15.2K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…290$40$11.8K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.240$50$10.8K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.120$70$8.4K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…250$30$7.7K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.60$80$5.3K
    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…70$50$3.3K
    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…120$30$3.1K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…50$60$3K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9397513937030$200$17.1K
    939255241,25040$180$15.4K
    741772752,09090$100$12.9K
    721977950040$180$12.6K
    9397819835030$140$11.4K
    938807252,23040$130$10.7K
    9392336841040$100$10.3K
    7418319769030$160$9.5K
    741783731,06030$190$8.8K
    939703782,29040$100$8.4K

    Showing 1–10 of 32

    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
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.410$150$60.7K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…170$40$6.1K
    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…10$80$1.1K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…10$30$380

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.4997801,160$130$576.2K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…512750720$40$94.8K
    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…729790200$80$70.9K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…543590370$70$66.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seventh-day Adventists Loma Linda University Medical CenterCAGeneral Acute Care Hospital$0$253.4M
    University Of California IrvineCAGeneral Acute Care Hospital$0$153.1M
    Faculty Physicians And Surgeons Of LlusmCAPediatrics Physician$0$66.4M
    Faculty Physicians And Surgeons Of LlusmCASurgery Physician$0$54.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$40M
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$27M
    Khaled TawansyCAOphthalmology Physician$2.8M$2.4M
    Amar AminCADiagnostic Radiology Physician$3.6M$6.5K
    Roger KornuCARheumatology Physician$2.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Falck Mobile Health CorpCALand Ambulance$25.5M$127.7M
    St. Joseph Hospital Of OrangeCAGeneral Acute Care Hospital$0$65.9M
    Children's Hospital Of Orange CountyCAChildren's Hospital$0$53.7M
    Emergency Medicine Specialists Of Orange CountyCAEmergency Medicine Physician$0$42.4M
    Maxim Healthcare Services, Inc.CAHome Health Agency$0$37.3M
    Premier Healthcare Services, LLCCAHome Health Agency$0$35M
    Vital Smiles Alabama Ii PCCADentist$0$29.2M
    Gordian Medical, Inc.CADurable Medical Equipment & Medical Supplies$0$27.5M
    Bio-medical Applications Of California, Inc.CAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$24.6M
    Acuity Behavior Solutions LLCCABehavior Analyst$0$23.2M

    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. California Distribution
    James Shi — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    James Shi — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California