Shah, Nirav

Shah, Nirav was paid $70K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoSHAH, NIRAV
NEWBURGH, NY 12550

33aNPI1023083607assigned 02/17/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$70K

24GClaims5,430

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#381 of 1,564

Median peer was paid$13K

This provider vs. median5.4×

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	590	$5K
2019	738	$6K
2020	641	$8K
2021	801	$13K
2022	838	$11K
2023	995	$12K
2024incomplete	827	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	67%	1,926	1,861	$47K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	12%	202	196	$9K
93000		12%	1,976	1,912	$9K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	3.5%	970	811	$2K
99310	Prolong nursin fac eval 15m	2.3%	90	87	$2K
93701		1.9%	221	207	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	32	12	$224.42
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	13	$190.45

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.