Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR MONA SHAH PROFESSIONAL CORPORATION

NPI: 1053643171 · SAN PEDRO, CA 90731 · Internal Medicine Physician · NPI assigned 02/01/2010

$103K
Total Medicaid Paid
81,872
Total Claims
74,547
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHAH, MONA (OWNER)
NPI Enumeration Date02/01/2010

Related Entities

Other providers sharing the same authorized official: SHAH, MONA

ProviderCityStateTotal Paid
SHAHMDSURGEON A PROFESSIONAL CORPORATION LYNWOOD CA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 13,537 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,839 16,033 $60K
99490 Ccm add 20min 1,599 1,595 $13K
99310 Prolong nursin fac eval 15m 569 474 $12K
99441 4,659 4,081 $4K
99215 Prolong outpt/office vis 2,177 2,049 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,125 3,674 $2K
3078F 9,211 8,026 $1K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 4,086 3,864 $1K
3074F 10,623 9,146 $846.85
99443 591 544 $843.07
36415 Collection of venous blood by venipuncture 6,216 5,974 $665.56
82947 362 338 $529.83
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,850 1,733 $519.20
92250 713 712 $492.51
93000 390 386 $432.25
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 199 193 $422.81
99497 237 236 $349.35
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $348.56
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 986 934 $312.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 80 80 $166.22
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 321 321 $131.53
99309 Subsequent nursing facility care, per day, low to moderate complexity 13 12 $120.25
71046 Radiologic examination, chest; 2 views 62 61 $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) 998 901 $40.79
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 975 960 $36.68
82570 65 64 $28.87
82044 66 65 $27.86
90686 263 263 $26.81
81002 939 910 $24.03
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 27 $16.61
99406 13 13 $10.03
90688 98 98 $5.58
90674 333 333 $0.76
96127 95 95 $0.42
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,745 3,355 $0.00
1160F 178 177 $0.00
0518F 84 84 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 40 40 $0.00
1159F 178 177 $0.00
1090F 64 62 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 28 28 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 93 89 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 131 130 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 196 196 $0.00
3288F 232 231 $0.00
3077F 14 13 $0.00
3725F 66 66 $0.00
G8482 Influenza immunization administered or previously received 12 12 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 13 13 $0.00
99442 73 68 $0.00
81025 37 37 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 13 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 62 62 $0.00
3079F 2,596 2,381 $0.00
3075F 1,074 1,010 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 56 56 $0.00
88142 110 110 $0.00
3044F 793 752 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 150 150 $0.00
99439 14 14 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 283 283 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 81 77 $0.00
1170F 167 166 $0.00
1101F 67 67 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 66 66 $0.00
1036F 181 179 $0.00
G0008 Administration of influenza virus vaccine 40 39 $0.00
99386 14 14 $0.00
90656 12 12 $0.00
96150 17 17 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 27 25 $0.00
3008F 30 30 $0.00
1125F 41 39 $0.00