Physician
Shah, Pranjal
Shah, Pranjal was paid $206K by Medicaid between Jan 2018 and Feb 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoSHAH, PRANJAL
WOODRIDGE, IL 60517
WOODRIDGE, IL 60517
33aNPI1063602829assigned 07/27/2007
33bProvider typeInternal Medicine Physician
28Total paid$206K
24GClaims5,230
24DCodes billed14
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Internal Medicine Physician providers in Illinois
Rank by total paid#371 of 3,722
Median peer was paid$26K
This provider vs. median8.0×
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 | 643 | $24K | |
| 2019 | 773 | $31K | |
| 2020 | 1,444 | $61K | |
| 2021 | 1,962 | $74K | |
| 2022 | 354 | $14K | |
| 2023 | 42 | $2K | |
| 2024incomplete | 12 | $948.83 |
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 | 49% | 2,634 | 2,028 | $100K |
| 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 | 19% | 682 | 550 | $40K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 14% | 601 | 510 | $30K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 7.1% | 463 | 391 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.9% | 209 | 123 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 210 | 168 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 122 | 52 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 29 | 15 | $2K |
| 90686 | <1% | 103 | 82 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | 26 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 58 | 48 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 61 | 57 | $337.36 |
2 more codes
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.