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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Amit Shah
๐Ÿ”ช
MDIndividual

Amit Shah, M.D.

NPI: 1396067682
Massapequa Park, NY
10 years of data
Vascular Surgery
$10.4M
Total Payments
145
Beneficiaries
35.8K
Services
3.52x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.4M
Specialty median$184.1K

๐Ÿ“‹ Key Findings

1Billed $10.4M over 10 years
23.52x markup ratio (above median)
399th percentile in Vascular Surgery by payments
4Payments surged 844% in 2019
517 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $10.4M in total Medicare payments ranks in the 99th percentile of Vascular Surgery providers nationally.

Medicare payments to this provider grew 3193% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 844% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$168.65$50.543.34x$118.11$109.3K2.2K8
2015$137.89$40.523.40x$97.37$122.5K3.0K9
2016$111.09$32.373.43x$78.72$84.7K2.6K9
2017$1.6K$507.793.23x$1.1K$450.9K88815
2018$398.64$116.613.42x$282.03$55.2K4739
2019$1.6K$569.182.77x$1.0K$520.8K91514
2020$2.6K$1.1K2.42x$1.5K$1.0M93012
2021$1.1K$373.953.05x$768.37$1.9M5.2K20
2022$1.1K$276.383.98x$823.10$2.5M9.0K24
2023$1.3K$338.423.91x$985.30$3.6M10.6K25

Top Procedures (20)

37229Removal of plaque in artery of leg, initial vessel
$5.1M
557 services$9.2K/svc2.81x markup
37227Removal of plaque and insertion of stents in arteries of leg
$1.7M
152 services$11.3K/svc2.98x markup
37225Removal of plaque in arteries of legโš  3.9x markup
$1.4M
204 services$6.7K/svc3.92x markup
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vesselโš  5.0x markup
$476.1K
490 services$971.65/svc5.05x markup
36832Revision of hemodialysis graftโš  3.2x markup
$376.2K
525 services$716.56/svc3.22x markup
36821Relocation of arm vein with connection to arm artery for hemodialysisโš  3.2x markup
$197.3K
289 services$682.59/svc3.19x markup
37231Removal of plaque and insertion of stents in artery of leg, initial vessel
$161.6K
13 services$12.4K/svc2.51x markup
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vesselโš  23.5x markup
$144.2K
838 services$172.11/svc23.50x markup
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branchโš  7.7x markup
$111.0K
142 services$781.60/svc7.70x markup
99213Established patient office or other outpatient visit, 20-29 minutesโš  3.4x markup
$100.8K
1.5K services$66.64/svc3.37x markup
75710Review by radiologist of arm or leg artery imageโš  3.0x markup
$70.4K
477 services$147.59/svc3.01x markup
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutesโš  3.3x markup
$53.5K
1.1K services$49.39/svc3.26x markup
36200Insertion of tube into aortaโš  3.6x markup
$43.8K
153 services$286.15/svc3.60x markup
75630Review by radiologist of abdominal aorta and both leg arteries imageโš  5.0x markup
$43.5K
282 services$154.33/svc4.98x markup
36140Insertion of needle or tube into artery of arm or legโš  3.4x markup
$39.7K
165 services$240.37/svc3.37x markup
75625Review by radiologist of abdominal aorta imageโš  3.1x markup
$33.9K
297 services$114.20/svc3.09x markup
99212Established patient office or other outpatient visit, 10-19 minutesโš  3.5x markup
$32.8K
773 services$42.47/svc3.53x markup
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologistโš  3.3x markup
$32.5K
28 services$1.2K/svc3.25x markup
99202New patient office or other outpatient visit, 15-29 minutesโš  3.5x markup
$25.0K
396 services$63.11/svc3.52x markup
75716Review by radiologist of both arms or legs arteries imageโš  4.3x markup
$22.9K
142 services$161.43/svc4.30x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37229Removal of plaque in artery of leg, initial vessel557$5.1M$9.2K2.81x
37227Removal of plaque and insertion of stents in arteries of leg152$1.7M$11.3K2.98x
37225Removal of plaque in arteries of leg204$1.4M$6.7K3.92x
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vessel490$476.1K$971.655.05x
36832Revision of hemodialysis graft525$376.2K$716.563.22x
36821Relocation of arm vein with connection to arm artery for hemodialysis289$197.3K$682.593.19x
37231Removal of plaque and insertion of stents in artery of leg, initial vessel13$161.6K$12.4K2.51x
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel838$144.2K$172.1123.50x
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch142$111.0K$781.607.70x
99213Established patient office or other outpatient visit, 20-29 minutes1.5K$100.8K$66.643.37x
75710Review by radiologist of arm or leg artery image477$70.4K$147.593.01x
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes1.1K$53.5K$49.393.26x
36200Insertion of tube into aorta153$43.8K$286.153.60x
75630Review by radiologist of abdominal aorta and both leg arteries image282$43.5K$154.334.98x
36140Insertion of needle or tube into artery of arm or leg165$39.7K$240.373.37x
75625Review by radiologist of abdominal aorta image297$33.9K$114.203.09x
99212Established patient office or other outpatient visit, 10-19 minutes773$32.8K$42.473.53x
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist28$32.5K$1.2K3.25x
99202New patient office or other outpatient visit, 15-29 minutes396$25.0K$63.113.52x
75716Review by radiologist of both arms or legs arteries image142$22.9K$161.434.30x

Markup Analysis

Charge-to-Payment Ratio

3.52x

This provider submits charges 3.52 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.52x means for every $100 Medicare pays, this provider initially charges $352. This is higher than the national average.

Location

Massapequa Park, NY

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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