Dr. Himanshu Shah, MD
228 Plainfield Ave, Edison, NJ 08817 • +1-307-555-5587
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Edison Percentiles
NPI #1104833276 • CBSA Regional • Ophthalmology
Dr. Himanshu Shah, MD (NPI #1104833276) practices Ophthalmology in Edison, NJ (08817) with sub-specialty concentration in 19 Active CMS HCPCS Codes, recording 1,007 annual CMS services across 260 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (14.29th Edison percentile) (-0.19σ vs NJ state mean, 7.06th statewide percentile).
Fee-schedule auditing of NPI 1104833276 highlights 373 annual claims for 92014 (14.29th Edison percentile; $182–$249 self-pay corridor) plus 262 encounters under 92134 and 171 under 92083.
At 228 Plainfield Ave (08817), Dr. Himanshu Shah, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.76/5 bedside rating).
NPI registry verification (#1104833276) confirms Dr. Himanshu Shah's MD standing serving CBSA 08817 with a 4.80/5 patient scorecard.
Compared against Edison, NJ Ophthalmology peers
1,007 annual services across 260 beneficiaries
Standard deviations from NJ Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 373 | 14.29th | $182 – $249 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 262 | 17.29th | $100 – $137 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 171 | 17.29th | $120 – $165 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 121 | 14.29th | $219 – $300 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 81 | 12.29th | $802 – $1099 |
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Dr. Himanshu Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1104833276 (MD) | CMS NPPES Registry (08817) |
| Dr. Shah Edison CMS Volume Rank | 14.29th Pct (1,007 CMS svcs; Z -0.190σ) | CMS Medicare Part B (NJ Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edison, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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