Active NPI 1497012603 Individual Practitioner Male Practitioner

Dr. Shanjin Cao , MD, PhD

Internal Medicine • Fall River, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shanjin Cao, MD, PhD is a certified Internal Medicine practicing in Fall River, MA. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Cao delivers high-quality medical care to the local community at 277 PLEASANT ST FL 4.

Dr. Cao is affiliated with Prima Care, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, advance care planning, first, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

277 Pleasant St Fl 4

Fall River, MA 027213005

Telephone 5086763292

Fax 5086722836

Associated Practice Facility / Clinic

🏢 Prima Care, Pc Facility NPI 1265422596

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +10.6 yrs vs City Avg

City Avg: 28.4 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

68 Specialists

Practicing in Fall River, MA (7127 Statewide)

Telehealth Adoption Rate

41.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cao (39 Years) 39 Yrs

Fall River Specialty Average (28.4 Years) 28.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	889	325	$350.00	$116.90
99497 Advance care planning, first 30 minutes	346	319	$270.00	$74.41
99239 Hospital discharge day management, more than 30 minutes	254	232	$339.00	$113.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	73	$638.00	$171.08
99291 Critical care, first 30-74 minutes	73	37	$702.00	$208.98
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	33	30	$90.00	$24.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,060	365	$350.00	$119.72
99497 Advance care planning, first 30 minutes	441	383	$270.00	$75.75
99239 Hospital discharge day management, more than 30 minutes	286	268	$339.00	$115.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	61	$638.00	$174.95
99291 Critical care, first 30-74 minutes	42	20	$702.00	$214.08
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	38	32	$90.00	$25.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,190	386	$350.00	$104.11
99497 Advance care planning, first 30 minutes	530	457	$270.00	$79.27
99239 Hospital discharge day management, more than 30 minutes	253	233	$339.00	$107.00
99291 Critical care, first 30-74 minutes	94	45	$702.00	$221.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	13	$230.00	$72.79
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	47	44	$90.00	$25.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$638.00	$201.61
99217 Hospital observation care on day of discharge	16	16	$232.00	$73.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,260	460	$350.00	$106.02
99497 Advance care planning, first 30 minutes	609	531	$270.00	$80.70
99239 Hospital discharge day management, more than 30 minutes	318	296	$339.00	$109.26
99291 Critical care, first 30-74 minutes	116	54	$702.00	$225.72
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	73	62	$90.00	$26.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$638.00	$205.65
99226 Subsequent observation care, typically 35 minutes per day	37	30	$331.00	$106.07
99217 Hospital observation care on day of discharge	27	27	$232.00	$74.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,193	432	$350.00	$108.73
99497 Advance care planning, first 30 minutes	551	499	$270.00	$82.38
99239 Hospital discharge day management, more than 30 minutes	275	266	$339.00	$112.09
99291 Critical care, first 30-74 minutes	105	57	$702.00	$231.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	65	$638.00	$210.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	30	$370.00	$114.19
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	60	58	$90.00	$27.35
99217 Hospital observation care on day of discharge	34	34	$232.00	$75.96
36415 Insertion of needle into vein for collection of blood sample	19	15	$17.00	$2.97
99226 Subsequent observation care, typically 35 minutes per day	18	12	$331.00	$108.33
99220 Hospital observation care, typically 70 minutes	16	16	$586.00	$192.27
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$250.00	$78.90
80048 Blood test, basic group of blood chemicals (calcium, total)	14	12	$29.00	$8.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$26.00	$7.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,116	391	$339.26	$107.51
99497 Advance care planning, first 30 minutes	552	488	$269.75	$81.72
99239 Hospital discharge day management, more than 30 minutes	275	259	$339.44	$111.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	65	$369.79	$113.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	111	$646.81	$207.43
36415 Insertion of needle into vein for collection of blood sample	69	41	$14.41	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	25	$271.68	$75.23
99226 Subsequent observation care, typically 35 minutes per day	62	38	$329.65	$108.29
99217 Hospital observation care on day of discharge	48	45	$237.00	$75.80
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	47	43	$89.91	$26.11
80048 Blood test, basic group of blood chemicals (calcium, total)	40	32	$31.00	$9.21
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	39	13	$90.00	$29.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	37	32	$28.57	$8.46
83036 Hemoglobin A1C level	35	29	$41.43	$10.57
99291 Critical care, first 30-74 minutes	35	25	$718.46	$230.08
80061 Blood test, lipids (cholesterol and triglycerides)	34	29	$50.74	$14.58
80076 Liver function blood test panel	31	28	$29.16	$8.90
84443 Blood test, thyroid stimulating hormone (TSH)	29	28	$59.38	$18.30
99220 Hospital observation care, typically 70 minutes	28	27	$583.50	$186.91
G0444 Annual depression screening, 5 to 15 minutes	21	21	$57.86	$18.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$389.24	$121.10
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$245.50	$77.63
G0008 Administration of influenza virus vaccine	19	19	$58.00	$17.42
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$54.00	$17.48
82728 Ferritin (blood protein) level	17	16	$48.24	$14.85
83550 Iron binding capacity	17	16	$30.47	$9.52
83540 Iron level	17	16	$22.35	$7.05
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$64.00	$20.03
99497 Advance care planning, first 30 minutes	15	15	$269.07	$88.03
81001 Manual urinalysis test with examination using microscope, automated	13	12	$12.08	$3.45
86708 Measurement of hepatitis a antibody	13	12	$43.23	$13.48
86706 Hepatitis b surface antibody measurement	13	12	$37.38	$11.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,234	449	$309.00	$108.03
99239 Hospital discharge day management, more than 30 minutes	275	261	$347.00	$112.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	47	$341.55	$112.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	166	$604.00	$210.51
99497 Advance care planning, first 30 minutes	96	89	$263.00	$82.14
99226 Subsequent observation care, typically 35 minutes per day	60	38	$310.00	$108.90
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	54	51	$46.00	$12.77
36415 Insertion of needle into vein for collection of blood sample	52	29	$18.00	$2.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	49	11	$46.00	$15.03
99217 Hospital observation care on day of discharge	48	47	$280.00	$76.14
99291 Critical care, first 30-74 minutes	48	37	$835.00	$230.57
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	40	38	$89.00	$26.65
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$225.00	$76.52
99220 Hospital observation care, typically 70 minutes	35	35	$551.00	$193.33
80061 Blood test, lipids (cholesterol and triglycerides)	30	24	$70.00	$16.20
80048 Blood test, basic group of blood chemicals (calcium, total)	28	21	$45.00	$10.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	27	21	$45.00	$9.40
80076 Liver function blood test panel	26	21	$40.00	$9.89
83036 Hemoglobin A1C level	25	23	$35.00	$11.75
84443 Blood test, thyroid stimulating hormone (TSH)	23	20	$80.00	$20.33
86706 Hepatitis b surface antibody measurement	15	15	$45.00	$12.99
G0008 Administration of influenza virus vaccine	15	15	$76.67	$21.55
86708 Measurement of hepatitis a antibody	15	15	$50.00	$14.98
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$140.00	$17.90
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$50.00	$17.48
86803 Hepatitis c antibody measurement	12	12	$50.00	$17.26
86705 Hepatitis b core antibody (igm) measurement	12	12	$50.00	$14.25
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$94.00	$22.26
87340 Detection test for Hepatitis B surface antigen	12	12	$45.00	$12.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$348.00	$103.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,411	517	$309.00	$106.59
99239 Hospital discharge day management, more than 30 minutes	345	326	$347.00	$110.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	150	147	$604.00	$207.11
99291 Critical care, first 30-74 minutes	69	40	$830.41	$227.43
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	66	62	$46.00	$12.57
99217 Hospital observation care on day of discharge	51	51	$280.00	$73.28
99226 Subsequent observation care, typically 35 minutes per day	48	32	$310.00	$107.54
99220 Hospital observation care, typically 70 minutes	46	46	$551.00	$189.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	25	$330.00	$110.83
36415 Insertion of needle into vein for collection of blood sample	15	12	$18.00	$2.94

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 258631

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Prima Care, Pc

277 Pleasant St, Fall River, MA 027213005

Phone: 5086763292

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 29, 2014

Registered at 277 PLEASANT ST FL 4, FALL RIVER, MA 027213005 (Tel: 5086763292)

📍

Updated Business Mailing Address July 29, 2014

Registered at 277 PLEASANT ST, 4TH FLOOR, FALL RIVER, MA 027213005 (Tel: 5086763292)

👤

Provider Name / Credentials Updated July 29, 2014

Recorded as SHANJIN CAO, MD, PHD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

Internal Medicine (License #258631 in MA)

🟢

Initial NPI Registration & Enumeration April 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497012603

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2012

Last Update: July 29, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

277 Pleasant St, 4th Floor

Fall River, MA 027213005

Phone: 5086763292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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