Shirolawala, Pankaj

Shirolawala, Pankaj was paid $150K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoSHIROLAWALA, PANKAJ
PERTH AMBOY, NJ 08861

33aNPI1003882523assigned 02/24/2006

33bProvider typeInternal Medicine Physician

28Total paid$150K

24GClaims3,995

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#281 of 1,027

Median peer was paid$30K

This provider vs. median5.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	708	$34K
2019	600	$24K
2020	713	$22K
2021	542	$18K
2022	643	$21K
2023	546	$21K
2024incomplete	243	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	92%	3,518	2,638	$138K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.1%	174	137	$6K
99308	Subsequent nursing facility care, per day, straightforward	2.7%	245	244	$4K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	17	17	$1K
90688		<1%	41	41	$512.90

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.