Physician
Shah, Niraj
Shah, Niraj was paid $239K by Medicaid between Aug 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoSHAH, NIRAJ
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
33aNPI1134440969assigned 06/16/2010
33bProvider typeFamily Medicine Physician
28Total paid$239K
24GClaims7,335
24DCodes billed13
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#480 of 2,947
Median peer was paid$43K
This provider vs. median5.6×
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
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 | 49 | $1K | |
| 2019 | 52 | $3K | |
| 2020 | 236 | $12K | |
| 2021 | 1,013 | $49K | |
| 2022 | 1,281 | $44K | |
| 2023 | 2,501 | $61K | |
| 2024incomplete | 2,203 | $70K |
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 | 75% | 2,740 | 2,438 | $178K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,118 | 1,012 | $47K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.2% | 92 | 87 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 228 | 223 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 99 | 92 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | 15 | $1K |
| 3079F | 0% | 375 | 363 | $0.00 | |
| 3008F | 0% | 1,218 | 1,157 | $0.00 | |
| 3075F | 0% | 24 | 24 | $0.00 | |
| 3074F | 0% | 810 | 774 | $0.00 | |
| 3080F | 0% | 13 | 12 | $0.00 | |
| 3078F | 0% | 573 | 548 | $0.00 |
1 more codes
| 3077F | 0% | 29 | $0.00 |
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.