Physician
Nimisha Shukla, M.D., P.A.
Nimisha Shukla, M.D., P.A. was paid $1.30M by Medicaid between Jan 2018 and Sep 2021, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoNIMISHA SHUKLA, M.D., P.A.
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1073854113assigned 03/14/2013
33bProvider typePediatrics Physician
28Total paid$1.30M
24GClaims52,605
24DCodes billed40
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#97 of 549
Median peer was paid$154K
This provider vs. median8.4×
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 | 4,515 | $179K | |
| 2019 | 11,490 | $325K | |
| 2020 | 20,447 | $452K | |
| 2021 | 16,153 | $339K |
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 | 46% | 9,131 | 8,535 | $600K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 6,424 | 6,334 | $137K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 1,637 | 1,540 | $75K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 884 | 881 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 802 | 799 | $61K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 4,619 | 4,604 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 731 | 727 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 571 | 571 | $46K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 2,637 | 2,568 | $26K |
| 92587 | 2.0% | 1,411 | 1,407 | $26K | |
| 90461 | 1.8% | 1,072 | 1,062 | $24K | |
| 97802 | 1.4% | 2,429 | 2,426 | $18K |
28 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.1% | 2,519 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 338 | $13K |
| 3008F | <1% | 2,053 | $11K | |
| 92552 | <1% | 733 | $10K | |
| 90686 | <1% | 892 | $9K | |
| 99051 | <1% | 3,068 | $8K | |
| 90651 | <1% | 76 | $8K | |
| 99177 | <1% | 1,365 | $7K | |
| 99173 | <1% | 2,273 | $5K | |
| 90670 | <1% | 68 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $3K |
| 0001A | <1% | 67 | $3K | |
| 90716 | <1% | 43 | $2K | |
| 90698 | <1% | 63 | $2K | |
| 99401 | <1% | 88 | $2K | |
| 90734 | <1% | 25 | $2K | |
| 96127 | <1% | 549 | $2K | |
| 0002A | <1% | 37 | $1K | |
| 90633 | <1% | 52 | $981.41 | |
| 99383 | <1% | 13 | $951.83 | |
| 36416 | <1% | 146 | $766.48 | |
| 92558 | <1% | 190 | $582.80 | |
| 90707 | <1% | 15 | $335.77 | |
| 96160 | <1% | 206 | $247.70 | |
| 99174 | <1% | 1,025 | $27.84 | |
| 91300 | <1% | 69 | $23.00 | |
| 99000 | <1% | 12 | $11.25 | |
| 99072 | <1% | 4,245 | $10.24 |
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 officialSHUKLA, NIMISHA (OWNER)