Treatment Tracker

The Doctors and Services in Medicare Part B

Treatment Tracker » Massachusetts » Southborough

UMER SHAH MD

2 PARKCENTRAL DRIVE SUITE 210 AVC / ACC, SOUTHBOROUGH, MA, 01772 | (508) 481-8346

Thoracic Surgery (Cardiothoracic Vascular Surgery)

See other providers with this specialty in Massachusetts »

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $868 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
108
Rank: 68th
out of 104 providers in this state & specialty
Services
Performed
7,124
Rank: 1st
out of 104 providers in this state & specialty
Avg Services
Per Patient
66 This Provider is in the top 10%
Avg 3.4
Total Paid
by Medicare
$199K
Rank: 22nd
out of 104 providers in this state & specialty
Avg Paid
Per Patient
$1,842 This Provider is in the top 10%
Avg $868

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 33 different services in 2015
(22 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
PATHOLOGY AND LABORATORY

Body fluid ph level

Service Code: 83986
Performed in an office
1,022
times performed,
14% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in MA perform this service

54
patients got this service, 50% of his patients
18.9
average number of visits a patient made for this service
$25,550.00an average of $25.00 per time performed $4,844.28
an average of $4.74 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
1,019
times performed,
14% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in MA perform this service

54
patients got this service, 50% of his patients
18.9
average number of visits a patient made for this service
$25,475.00an average of $25.00 per time performed $3,057.00
an average of $3.00 per time performed
medical
PATHOLOGY AND LABORATORY

Chemical analysis using spectrophotometry (light)

Service Code: 84311
Performed in an office
1,019
times performed,
14% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in MA perform this service

54
patients got this service, 50% of his patients
18.9
average number of visits a patient made for this service
$25,475.00an average of $25.00 per time performed $8,732.83
an average of $8.57 per time performed
medical

Alcohol (ethanol); any specimen except breath

Service Code: G6040
Performed in an office
1,012
times performed,
14% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in MA perform this service

54
patients got this service, 50% of his patients
18.7
average number of visits a patient made for this service
$25,300.00an average of $25.00 per time performed $14,491.84
an average of $14.32 per time performed
medical
PROCEDURES

Drug screen, qualitative; multiple drug classes by high c... +

Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter ×

Service Code: G0431
Performed in an office
1,011
times performed,
14% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in MA perform this service

54
patients got this service, 50% of his patients
18.7
average number of visits a patient made for this service
$126,375.00an average of $125.00 per time performed $78,605.25
an average of $77.75 per time performed
medical
PATHOLOGY AND LABORATORY

Creatinine clearance measurement to test for kidney function +

Creatinine clearance measurement to test for kidney function ×

Service Code: 82575
Performed in an office
996
times performed,
14% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in MA perform this service

52
patients got this service, 48% of his patients
19.2
average number of visits a patient made for this service
$24,900.00an average of $25.00 per time performed $12,469.92
an average of $12.52 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
911
times performed,
13% of his services

7th 1st

most performed service for this provider most performed service in this state & specialty

45
patients got this service, 42% of his patients
20.2
average number of visits a patient made for this service
(Peers: 1.7)
$159,425.00an average of $175.00 per time performed $55,853.41
an average of $61.31 per time performed
medical
EVALUATION AND MANAGEMENT

Smoking and tobacco use intensive counseling, greater tha... +

Smoking and tobacco use intensive counseling, greater than 10 minutes ×

Service Code: 99407
Performed in an office
35
times performed,
0.49% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in MA perform this service

20
patients got this service, 19% of his patients
1.8
average number of visits a patient made for this service
$2,625.00an average of $75.00 per time performed $677.95
an average of $19.37 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
21
times performed,
0.29% of his services

9th 19th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,250.00an average of $250.00 per time performed $1,739.85
an average of $82.85 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
17
times performed,
0.24% of his services

10th 15th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,783.00an average of $399.00 per time performed $1,865.58
an average of $109.74 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
15
times performed,
0.21% of his services

11th 5th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,200.00an average of $80.00 per time performed $534.60
an average of $35.64 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Umer Sayeed Shah
Average for Thoracic Surgery (Cardiothoracic Vascular Surgery) Providers in Massachusetts

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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