Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kandarp K. Shah, M.D., INC

Kandarp K. Shah, M.D., INC was paid $88K by Medicaid between Jan 2018 and Aug 2019, across 7 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 42% of everything it billed.

33Billing provider infoKANDARP K. SHAH, M.D., INC
VISALIA, CA 93291
33aNPI1114102969assigned 12/28/2007
28Total paid$88K
24GClaims2,127
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#164 of 363
Median peer was paid$55K
This provider vs. median1.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,103$30K
20191,024$57K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 42% 565 564 $37K
45380 Colonoscopy, flexible; with biopsy, single or multiple 20% 239 238 $17K
99152 16% 767 760 $14K
99243 11% 435 435 $9K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 7.0% 34 34 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 4.7% 50 50 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 37 37 $406.40

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, KANDARP (PRESIDENT)