Physician
DR Mona Shah Professional Corporation
DR Mona Shah Professional Corporation was paid $103K by Medicaid between Jan 2018 and Oct 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoDR MONA SHAH PROFESSIONAL CORPORATION
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
33aNPI1053643171assigned 02/01/2010
33bProvider typeInternal Medicine Physician
28Total paid$103K
24GClaims81,872
24DCodes billed73
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#636 of 2,679
Median peer was paid$13K
This provider vs. median8.2×
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 | 8,091 | $20K | |
| 2019 | 12,330 | $24K | |
| 2020 | 8,606 | $18K | |
| 2021 | 10,114 | $15K | |
| 2022 | 13,605 | $12K | |
| 2023 | 15,589 | $9K | |
| 2024incomplete | 13,537 | $6K |
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 | 59% | 17,839 | 16,033 | $60K |
| 99490 | Ccm add 20min | 13% | 1,599 | 1,595 | $13K |
| 99310 | Prolong nursin fac eval 15m | 11% | 569 | 474 | $12K |
| 99441 | 3.7% | 4,659 | 4,081 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 2,177 | 2,049 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 4,125 | 3,674 | $2K |
| 3078F | 1.1% | 9,211 | 8,026 | $1K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 1.0% | 4,086 | 3,864 | $1K |
| 3074F | <1% | 10,623 | 9,146 | $846.85 | |
| 99443 | <1% | 591 | 544 | $843.07 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,216 | 5,974 | $665.56 |
| 82947 | <1% | 362 | 338 | $529.83 |
61 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,850 | $519.20 |
| 92250 | <1% | 713 | $492.51 | |
| 93000 | <1% | 390 | $432.25 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 199 | $422.81 |
| 99497 | <1% | 237 | $349.35 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 12 | $348.56 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 986 | $312.16 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 80 | $166.22 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 321 | $131.53 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 13 | $120.25 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 62 | $76.55 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 998 | $40.79 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 975 | $36.68 |
| 82570 | <1% | 65 | $28.87 | |
| 82044 | <1% | 66 | $27.86 | |
| 90686 | <1% | 263 | $26.81 | |
| 81002 | <1% | 939 | $24.03 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $16.61 |
| 99406 | <1% | 13 | $10.03 | |
| 90688 | <1% | 98 | $5.58 | |
| 90674 | <1% | 333 | $0.76 | |
| 96127 | <1% | 95 | $0.42 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,745 | $0.00 |
| 1160F | 0% | 178 | $0.00 | |
| 0518F | 0% | 84 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 40 | $0.00 |
| 1159F | 0% | 178 | $0.00 | |
| 1090F | 0% | 64 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 28 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 93 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 131 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 196 | $0.00 |
| 3288F | 0% | 232 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 3725F | 0% | 66 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 13 | $0.00 |
| 99442 | 0% | 73 | $0.00 | |
| 81025 | 0% | 37 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 62 | $0.00 |
| 3079F | 0% | 2,596 | $0.00 | |
| 3075F | 0% | 1,074 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 56 | $0.00 |
| 88142 | 0% | 110 | $0.00 | |
| 3044F | 0% | 793 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 150 | $0.00 |
| 99439 | 0% | 14 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 283 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 81 | $0.00 |
| 1170F | 0% | 167 | $0.00 | |
| 1101F | 0% | 67 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 66 | $0.00 |
| 1036F | 0% | 181 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 40 | $0.00 |
| 99386 | 0% | 14 | $0.00 | |
| 90656 | 0% | 12 | $0.00 | |
| 96150 | 0% | 17 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 27 | $0.00 |
| 3008F | 0% | 30 | $0.00 | |
| 1125F | 0% | 41 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSHAH, MONA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Shahmdsurgeon a Professional Corporation | Lynwood, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.