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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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Methodology•Download Data
  1. Home
  2. Providers
  3. Joseph Shams
📡
MDIndividual

Joseph Shams, M.D

NPI: 1659301125
New York, NY
10 years of data
Interventional Radiology
$20.6M
Total Payments
18.2K
Beneficiaries
33.7K
Services
3.72x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$20.6M
Specialty median$146.5K

📋 Key Findings

1Billed $20.6M over 10 years
23.72x markup ratio (above median)
399th percentile in Interventional Radiology by payments
4Payments surged 951% in 2015
517 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $20.6M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.

Medicare payments to this provider grew 1006% 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

📈

Notable: Payments increased 951% in 2015

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 — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$2.7K$139.3119.42x$2.6K$133.9K1.2K647
2015$2.9K$666.984.42x$2.3K$1.4M3.6K1.9K
2016$3.9K$980.633.97x$2.9K$2.5M5.6K2.6K
2017$4.2K$1.1K3.80x$3.1K$2.9M4.9K2.5K
2018$4.0K$1.1K3.73x$2.9K$3.2M5.2K2.6K
2019$3.2K$939.133.36x$2.2K$2.5M3.7K2.2K
2020$4.4K$1.6K2.75x$2.8K$2.5M3.1K1.8K
2021$3.1K$985.213.11x$2.1K$2.1M2.7K1.5K
2022$3.6K$1.2K2.95x$2.4K$1.9M2.2K1.4K
2023$3.8K$1.3K2.92x$2.5K$1.5M1.5K1.0K

Top Procedures (20)

37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure⚠ 3.2x markup
$5.0M
600 services$8.3K/svc3.19x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure⚠ 3.5x markup
$4.3M
580 services$7.5K/svc3.54x markup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation⚠ 3.4x markup
$2.6M
2.3K services$1.1K/svc3.44x markup
35476Balloon dilation of narrowed or blocked vein, accessed through the skin⚠ 5.3x markup
$937.0K
1.1K services$862.82/svc5.35x markup
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation
$758.4K
1.1K services$676.50/svc2.97x markup
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation⚠ 3.3x markup
$683.2K
367 services$1.9K/svc3.25x markup
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure
$561.8K
47 services$12.0K/svc2.55x markup
36215Insertion of catheter into chest or arm artery⚠ 5.3x markup
$420.6K
774 services$543.47/svc5.33x markup
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation⚠ 3.5x markup
$395.8K
181 services$2.2K/svc3.45x markup
36906Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation⚠ 3.0x markup
$354.2K
56 services$6.3K/svc3.01x markup
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation⚠ 3.2x markup
$337.1K
65 services$5.2K/svc3.22x markup
35475Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin⚠ 5.4x markup
$332.5K
352 services$944.61/svc5.41x markup
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation⚠ 4.6x markup
$332.1K
106 services$3.1K/svc4.59x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatment
$329.8K
311 services$1.1K/svc2.57x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.0x markup
$308.8K
3.2K services$97.09/svc4.03x markup
75710Radiological supervision and interpretation of imaging of artery of one arm or leg⚠ 4.4x markup
$258.6K
1.7K services$148.69/svc4.43x markup
75791Radiological supervision and interpretation of imaging of artery-vein dialysis shunt⚠ 4.2x markup
$209.2K
709 services$295.00/svc4.23x markup
36147Insertion of needle and/or catheter for dialysis⚠ 9.3x markup
$200.9K
733 services$274.05/svc9.27x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.5x markup
$187.2K
2.8K services$67.91/svc3.50x markup
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure⚠ 3.2x markup
$163.2K
133 services$1.2K/svc3.19x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure600$5.0M$8.3K3.19x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure580$4.3M$7.5K3.54x
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation2.3K$2.6M$1.1K3.44x
35476Balloon dilation of narrowed or blocked vein, accessed through the skin1.1K$937.0K$862.825.35x
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation1.1K$758.4K$676.502.97x
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation367$683.2K$1.9K3.25x
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure47$561.8K$12.0K2.55x
36215Insertion of catheter into chest or arm artery774$420.6K$543.475.33x
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation181$395.8K$2.2K3.45x
36906Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation56$354.2K$6.3K3.01x
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation65$337.1K$5.2K3.22x
35475Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin352$332.5K$944.615.41x
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation106$332.1K$3.1K4.59x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment311$329.8K$1.1K2.57x
99214Established patient office or other outpatient, visit typically 25 minutes3.2K$308.8K$97.094.03x
75710Radiological supervision and interpretation of imaging of artery of one arm or leg1.7K$258.6K$148.694.43x
75791Radiological supervision and interpretation of imaging of artery-vein dialysis shunt709$209.2K$295.004.23x
36147Insertion of needle and/or catheter for dialysis733$200.9K$274.059.27x
99213Established patient office or other outpatient visit, typically 15 minutes2.8K$187.2K$67.913.50x
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure133$163.2K$1.2K3.19x

Markup Analysis

Charge-to-Payment Ratio

3.72x

This provider submits charges 3.72 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. This is higher than the national average.

Location

New York, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Interventional Radiology providers in NY for peer comparison.

Joseph Shams (you)
$20.6M
Harry Tsou, MD
$40.1M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Harry Tsou, MDLong Island City, NY$40.1M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • 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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