Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHORE MEDICAL SPECIALISTS

NPI: 1134217417 · TOMS RIVER, NJ 08755 · Internal Medicine Physician · NPI assigned 10/11/2006

$369K
Total Medicaid Paid
25,346
Total Claims
20,724
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, AKSHAY (OWNER/PARTNER)
NPI Enumeration Date10/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,285 $81K
2019 7,512 $95K
2020 6,636 $68K
2021 1,421 $38K
2022 1,509 $33K
2023 1,430 $32K
2024 1,553 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,346 3,985 $118K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,160 1,998 $82K
99307 8,221 8,044 $77K
99233 Prolong inpt eval add15 m 3,738 1,673 $39K
99335 3,216 2,603 $18K
99308 Subsequent nursing facility care, per day, straightforward 2,325 1,194 $15K
99223 Prolong inpt eval add15 m 234 214 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 97 95 $5K
99306 Prolong nursin fac eval 15m 101 97 $4K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 187 184 $2K
99336 12 12 $790.85
99232 Subsequent hospital care, per day, moderate complexity 78 38 $686.24
99348 34 24 $303.64
G0444 Annual depression screening, 5 to 15 minutes 91 91 $280.71
99490 Ccm add 20min 168 159 $156.52
96127 16 16 $38.28
G8752 Most recent systolic blood pressure < 140 mmhg 61 54 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 27 25 $0.00
1123F 55 51 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 61 54 $0.00
1036F 40 38 $0.00
3075F 26 25 $0.00
3079F 26 25 $0.00
3074F 26 25 $0.00