Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Oak Lawn › NPI 1043242860
Physician

Shah, Mousami

Shah, Mousami was paid $66K by Medicaid between Sep 2020 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoSHAH, MOUSAMI
OAK LAWN, IL 60453
33aNPI1043242860assigned 07/06/2006
28Total paid$66K
24GClaims1,476
24DCodes billed5
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in Illinois

Rank by total paid#89 of 285
Median peer was paid$31K
This provider vs. median2.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202058$3K
2021395$17K
2022398$18K
2023336$14K
2024incomplete289$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 997 923 $44K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 25% 335 149 $16K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.5% 94 58 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.3% 38 36 $2K
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% 12 12 $312.92

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.