Physician
Shah, Malathi
Shah, Malathi was paid $412K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 47% of everything it billed.
33Billing provider infoSHAH, MALATHI
CHICAGO, IL 60649
CHICAGO, IL 60649
33aNPI1073643193assigned 03/07/2007
33bProvider typeNephrology Physician
28Total paid$412K
24GClaims10,170
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Illinois
Rank by total paid#18 of 327
Median peer was paid$68K
This provider vs. median6.1×
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
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 | 1,156 | $28K | |
| 2019 | 1,516 | $49K | |
| 2020 | 1,971 | $72K | |
| 2021 | 1,542 | $65K | |
| 2022 | 1,647 | $70K | |
| 2023 | 1,237 | $63K | |
| 2024incomplete | 1,101 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 47% | 1,726 | 1,659 | $192K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 40% | 6,947 | 2,134 | $163K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.3% | 536 | 504 | $22K |
| 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 | 4.8% | 503 | 458 | $20K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 412 | 130 | $14K |
| 99223 | Prolong inpt eval add15 m | <1% | 34 | 30 | $2K |
| 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% | 12 | 12 | $37.81 |
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.