Shah, Nikunj

Shah, Nikunj was paid $136K by Medicaid between Jan 2018 and Jun 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.

33Billing provider infoSHAH, NIKUNJ
CHICAGO, IL 60612

33aNPI1134109861assigned 01/19/2006

33bProvider typeGastroenterology Physician

28Total paid$136K

24GClaims2,558

24DCodes billed7

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#56 of 370

Median peer was paid$16K

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	400	$18K
2019	580	$25K
2020	423	$25K
2021	496	$27K
2022	440	$27K
2023	219	$13K

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	89%	2,079	1,899	$120K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.5%	181	151	$8K
99244	Office or other outpatient consultation, moderate to high complexity	2.3%	19	19	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.0%	38	37	$3K
80053	Comprehensive metabolic panel	1.2%	162	145	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	65	59	$397.51
36415	Collection of venous blood by venipuncture	<1%	14	12	$4.10

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.