Active NPI 1235587478 Individual Practitioner Male Practitioner

Dr. Mubashir Shabil Billah , MD

Urology • Millburn, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mubashir Billah, MD is a certified Urology practicing in Millburn, NJ. With approximately 10 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 2016, Dr. Billah delivers high-quality medical care to the local community at 225 MILLBURN AVE.

Dr. Billah maintains professional affiliations with St Josephs Medical Group Pc, Summit Medical Group Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, complete ultrasound scan behind abdominal cavity, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 Millburn Ave

Millburn, NJ 070411737

Telephone 9732189400

Fax 9732189420

Associated Practice Facility / Clinic

🏢 Millburn Surgical Associates Pa Facility NPI 1407893068

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Millburn, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -17.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Millburn, NJ (474 Statewide)

Telehealth Adoption Rate

66.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

87.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Billah (10 Years) 10 Yrs

Millburn Specialty Average (27.5 Years) 27.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	229	$273.99	$138.33
99213 Established patient office or other outpatient visit, typically 15 minutes	273	191	$188.00	$97.50
76770 Complete ultrasound scan behind abdominal cavity	255	191	$378.73	$118.24
81002 Urinalysis, manual test	237	160	$11.00	$3.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	170	89	$179.00	$82.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	109	$336.00	$137.32
36415 Insertion of needle into vein for collection of blood sample	110	86	$15.00	$8.65
76857 Limited ultrasound scan of pelvis	107	95	$168.00	$47.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$412.00	$182.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	77	$497.00	$181.18
51741 Electronic assessment of bladder emptying	66	55	$278.33	$11.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	21	$256.00	$115.28
52000 Diagnostic exam of bladder and urethra using an endoscope	38	36	$890.00	$254.85
51700 Simple bladder irrigation and/or instillation	36	31	$350.00	$82.22
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	27	27	$510.00	$38.66
84153 Psa (prostate specific antigen) measurement, total	26	23	$76.00	$18.02
51798 Ultrasound measurement of bladder capacity after voiding	25	23	$115.00	$12.46
84154 Psa (prostate specific antigen) measurement, free	24	21	$76.00	$18.02
76872 Ultrasound scan of pelvic region through rectum	22	21	$340.00	$156.87
51797 Insertion of device into abdomen with pressure and urine flow rate study	20	20	$1275.00	$211.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$366.00	$196.51
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	19	$2500.00	$91.20
87088 Bacterial urine culture	17	16	$34.00	$7.00
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	17	17	$1737.00	$403.21
87086 Bacterial colony count, urine	17	16	$33.00	$6.98
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	16	16	$10175.00	$290.06
50543 Partial removal of kidney using an endoscope	15	15	$8685.00	$409.08
52281 Dilation of bladder canal (urethra) using an endoscope	14	13	$1143.00	$351.04
50590 Shock wave crushing of kidney stones	14	13	$5085.00	$616.35
99284 Emergency department visit with moderate level of medical decision making	13	13	$285.00	$116.72
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$1400.00	$355.40
74420 Imaging of urinary tract	13	12	$77.54	$25.68
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	12	12	$4623.00	$165.44
76775 Limited ultrasound scan behind abdominal cavity	12	12	$201.00	$56.28
55700 Biopsy of prostate gland	12	12	$1443.00	$244.65
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$2290.00	$436.49
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$35.00	$8.29
55899 Other procedure on male genital system	11	11	$1737.00	$182.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	239	$274.00	$137.17
81002 Urinalysis, manual test	280	179	$11.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	277	182	$188.00	$97.14
76770 Complete ultrasound scan behind abdominal cavity	245	192	$387.35	$123.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	105	$497.00	$184.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	63	$179.00	$83.44
76857 Limited ultrasound scan of pelvis	79	68	$168.00	$48.24
87086 Bacterial colony count, urine	64	55	$33.00	$7.29
36415 Insertion of needle into vein for collection of blood sample	64	49	$15.00	$8.40
87088 Bacterial urine culture	62	53	$34.00	$7.29
51741 Electronic assessment of bladder emptying	61	55	$283.00	$10.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$412.00	$182.94
51798 Ultrasound measurement of bladder capacity after voiding	56	50	$115.00	$12.38
84153 Psa (prostate specific antigen) measurement, total	39	30	$76.00	$18.02
84154 Psa (prostate specific antigen) measurement, free	39	30	$76.00	$18.02
51700 Simple bladder irrigation and/or instillation	38	30	$350.00	$79.05
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	34	34	$527.50	$35.89
52000 Diagnostic exam of bladder and urethra using an endoscope	32	30	$890.00	$268.63
76775 Limited ultrasound scan behind abdominal cavity	31	30	$201.00	$57.43
52281 Dilation of bladder canal (urethra) using an endoscope	27	25	$1143.00	$352.54
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	26	22	$13.00	$8.15
51797 Insertion of device into abdomen with pressure and urine flow rate study	25	25	$1275.00	$206.64
87077 Bacterial culture for aerobic isolates	25	22	$33.00	$7.60
76856 Complete ultrasound scan of pelvis	21	20	$389.00	$123.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$2500.00	$111.56
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	18	$1737.00	$398.72
76872 Ultrasound scan of pelvic region through rectum	18	17	$340.00	$158.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$366.00	$196.68
80048 Blood test, basic group of blood chemicals (calcium, total)	16	16	$35.00	$8.29
76870 Ultrasound scan of scrotum	16	14	$236.00	$92.62
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$1400.00	$363.27
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	12	12	$525.00	$165.41
99284 Emergency department visit with moderate level of medical decision making	12	12	$285.00	$127.99
74420 Imaging of urinary tract	11	11	$278.09	$26.10
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$2290.00	$418.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	395	219	$274.00	$140.40
81002 Urinalysis, manual test	338	198	$11.00	$3.43
76770 Complete ultrasound scan behind abdominal cavity	293	213	$377.77	$129.87
99213 Established patient office or other outpatient visit, typically 15 minutes	288	180	$188.00	$100.73
76857 Limited ultrasound scan of pelvis	128	87	$168.00	$55.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	104	$497.00	$209.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	64	$181.20	$76.01
76775 Limited ultrasound scan behind abdominal cavity	84	74	$201.00	$53.07
51741 Electronic assessment of bladder emptying	84	61	$316.10	$13.21
76856 Complete ultrasound scan of pelvis	65	59	$389.00	$126.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$412.00	$185.82
36415 Insertion of needle into vein for collection of blood sample	49	40	$15.00	$2.95
52281 Dilation of bladder canal (urethra) using an endoscope	39	38	$1143.00	$373.62
81003 Automated urinalysis test	32	30	$10.00	$2.25
51798 Ultrasound measurement of bladder capacity after voiding	29	28	$115.00	$12.64
84154 Psa (prostate specific antigen) measurement, free	27	26	$76.00	$17.35
84153 Psa (prostate specific antigen) measurement, total	27	26	$76.00	$17.35
51702 Simple insertion of temporary bladder tube	25	17	$425.00	$69.93
52000 Diagnostic exam of bladder and urethra using an endoscope	23	21	$890.00	$272.08
87088 Bacterial urine culture	22	21	$34.00	$7.57
87086 Bacterial colony count, urine	22	21	$33.00	$7.55
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$1275.00	$238.15
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$580.83	$36.69
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$2500.00	$110.96
51700 Simple bladder irrigation and/or instillation	17	15	$350.00	$84.68
51703 Complicated insertion of bladder tube	16	16	$400.00	$82.94
99283 Emergency department visit with low level of medical decision making	16	16	$150.00	$76.94
76870 Ultrasound scan of scrotum	15	11	$236.00	$115.27
76872 Ultrasound scan of pelvic region through rectum	15	15	$340.00	$166.23
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	14	$1400.00	$376.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$366.00	$201.46
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$1737.00	$441.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	144	$370.00	$146.08
81002 Urinalysis, manual test	152	120	$19.94	$3.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	57	$239.57	$78.07
99213 Established patient office or other outpatient visit, typically 15 minutes	111	98	$254.81	$102.30
51741 Electronic assessment of bladder emptying	105	87	$201.13	$14.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	104	102	$670.00	$215.51
76770 Complete ultrasound scan behind abdominal cavity	68	63	$388.24	$133.77
76775 Limited ultrasound scan behind abdominal cavity	61	58	$210.00	$58.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$547.06	$184.42
76857 Limited ultrasound scan of pelvis	46	41	$169.91	$52.90
76856 Complete ultrasound scan of pelvis	34	34	$390.00	$124.23
81003 Automated urinalysis test	34	33	$10.00	$2.25
99283 Emergency department visit with low level of medical decision making	25	23	$200.00	$77.72
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	19	$1680.00	$152.32
36415 Insertion of needle into vein for collection of blood sample	18	18	$10.00	$3.00
51798 Ultrasound measurement of bladder capacity after voiding	17	16	$50.00	$12.47
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$325.00	$36.94
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$500.00	$226.25
74420 Imaging of urinary tract	14	11	$275.00	$27.23
52000 Diagnostic exam of bladder and urethra using an endoscope	13	12	$670.00	$236.64
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$1190.00	$445.48

Medical Specialties & State Licenses

CMS Verified: 2022-03-04

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ 25MA11069300

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

St Josephs Medical Group Pc

703 Main St, Paterson, NJ 075032621

Phone: 9737546331

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Mark Mann , MD

Urology

NPI 1225291123

Doctor of Medicine (M.D.)

Dr. Merritt Cohen , MD

Urology

NPI 1407867674

Doctor of Medicine (M.D.)

Dr. Eric Seaman , MD

Urology

NPI 1548266414

Doctor of Medicine (M.D.)

Dr. Stuart Shoengold , MD

Urology

NPI 1689689275

Doctor of Medicine (M.D.)

Dr. Alan Helfman , MD

Urology

NPI 1982610879

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location March 04, 2022

Registered at 225 MILLBURN AVE, MILLBURN, NJ 070411737 (Tel: 9732189400)

📍

Updated Business Mailing Address March 04, 2022

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2022

Urology (License #25MA11069300 in NJ)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2022

Student in an Organized Health Care Education/Training Program

📍

Updated Practice Location July 06, 2021

Registered at 255 W SPRING VALLEY AVE STE 101, MAYWOOD, NJ 076071444 (Tel: 2014878866)

📍

Updated Business Mailing Address July 06, 2021

Registered at 255 W SPRING VALLEY AVE STE 101, MAYWOOD, NJ 076071444 (Tel: 2014878866)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Urology (License #25MA11069300 in NJ)

✅

NPI Profile Active May 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 27, 2016

Registered at 150 BERGEN ST, NEWARK, NJ 071032496 (Tel: 9739724300)

📍

Updated Business Mailing Address May 27, 2016

Registered at 150 BERGEN ST, NEWARK, NJ 071032496

👤

Provider Name / Credentials Updated May 27, 2016

Recorded as MUBASHIR BILLAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 27, 2016

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: 1235587478

Entity Type:

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

Enumeration Date: May 27, 2016

Last Update: March 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9082734300

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.