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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSanjay Shah
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    Sanjay Shah — Billing Profile & Reimbursement Data

    NPI 1992798581 · Pikesville, MD · Pulmonary Disease Physician

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    Sanjay Shah is a pulmonary disease physician provider located in Pikesville, Maryland. This profile covers 17 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
    OrganizationSanjay Shah
    Address1838 Greene Tree Rd Ste 350
    CityPikesville
    StateMD
    ZIP21208
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedAugust 30, 2005

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

    Payer SourceTotal Paid
    Medicare$277.7K
    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.

    17 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…1,100$100$105.3K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…890$40$38.2K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.580$50$27.2K
    94004The provider delivers daily ventilator management services for a patient in a long–term care facility.630$40$24.6K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…980$20$20.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…120$140$16K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…260$30$8.5K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.30$270$6.9K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…40$160$6.5K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…40$140$6K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95800566030$120$60.5K
    9921444310,270150$90$24.1K
    95811467030$370$18.7K
    95810409040$330$17.6K
    94004110390$40$13.3K
    992135,5749,280100$60$12.5K
    9930529432060$100$11.2K
    992158724,07050$120$10.9K
    992042,2515,38040$120$7.3K
    992055961,91030$160$6.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scotland Memorial Hospital IncNCGeneral Acute Care Hospital$0$39.4M
    Charlotte Radiology P ANCSpecialist$0$19.2M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Sinai Hospital Of Baltimore, Inc.MDGeneral Acute Care Hospital$0$10.2M
    Sinai Hospital Of Baltimore IncMDInternal Medicine Physician$0$6.4M
    Victor ArchieVARadiation Oncology Physician$4M$0
    Huzefa BahrainMDHematology & Oncology Physician$2.1M$0
    Devang GandhiWIPediatrics Physician$0$1.7M
    Scotland Memorial Hospital IncSCRural Health Clinic/Center$0$1.6M
    Naveed ShahRIPulmonary Disease Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prologue, IncMDCommunity/Behavioral Health Agency$0$18.1M
    Health Rite Pharmacy & Medical Supply IncMDCommunity/Retail Pharmacy$1.6K$16.5M
    C&c Advocacy And Health Services, Inc.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$12.6M
    The Monumental Group LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$9.1M
    The Therapy SpotMDOccupational Therapy Assistant$0$8.5M
    Pikesville Health Services LLCMDMethadone Clinic$168.1K$5.6M
    Acme Medical Supplies, Inc.MDOxygen Equipment & Supplies (DME)$0$5.3M
    Empowerment Therapy Services Of Maryland, LLCMDCommunity/Behavioral Health Agency$0$5.1M
    Empowerment Therapy Services Of Maryland, LLCMDRehabilitation Clinic/Center$0$4.5M
    Healthy Life Adult Medical Day Center, LLCMDAdult Day Care Clinic/Center$0$4.2M

    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. Maryland Distribution
    Sanjay Shah — 5 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland