Dr. Samir Shah, MD
123 Newton Sparta Rd, Newton, NJ 07860 • +1-395-555-2816
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Newton Percentiles
NPI #1083691000 • CBSA Regional • Pulmonary Disease
Dr. Samir Shah, MD (NPI #1083691000) practices Pulmonary Disease in Newton, NJ (07860) with sub-specialty concentration in 49 Active CMS HCPCS Codes, recording 4,724 annual CMS services across 1,093 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Newton) (+0.48σ vs NJ state mean, 91.08th statewide percentile).
Fee-schedule auditing of NPI 1083691000 highlights 1878 annual claims for 99214 (99th Newton percentile; $138–$189 self-pay corridor) plus 1053 encounters under 94060 and 779 under 94729.
Cash-pay intake data for NPI 1083691000 (123 Newton Sparta Rd, Newton) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 12-minute average reception wait and 4.67/5 biomarker openness.
Patients evaluating Dr. Samir Shah in ZIP 07860 note 19 years of post-doctoral tenure (null, 2007) alongside 4.3 annual CMS procedures per patient.
Top 10% Pulmonary Disease volume leader in Newton, NJ
4,724 annual services across 1,093 beneficiaries
Standard deviations from NJ Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 1,878 | 99th | $138 – $189 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 1,053 | 99.5th | $90 – $123 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 779 | 99.5th | $82 – $112 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 504 | 99.5th | $252 – $346 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 366 | 98th | $195 – $267 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (49 HCPCS billing breadth) | 144 | 99th | $125 – $181 |
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Dr. Samir Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1083691000 (MD) | CMS NPPES Registry (07860) |
| Dr. Shah Newton CMS Volume Rank | 99.00th Pct (4,724 CMS svcs; Z +0.480σ) | CMS Medicare Part B (NJ Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Newton, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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