Shah, Birva
Shah, Birva was paid $82K by Medicaid between Jan 2018 and Mar 2021, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
33Billing provider infoSHAH, BIRVA
CHICAGO RIDGE, IL 60415
CHICAGO RIDGE, IL 60415
33aNPI1134481211assigned 06/13/2012
33bProvider typeOptometrist
28Total paid$82K
24GClaims2,743
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#459 of 1,069
Median peer was paid$56K
This provider vs. median1.5×
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 | 1,723 | $52K | |
| 2019 | 827 | $25K | |
| 2020 | 148 | $5K | |
| 2021 | 45 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43% | 810 | 782 | $35K |
| 92015 | Determination of refractive state | 24% | 1,087 | 1,052 | $20K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 269 | 263 | $12K |
| 92060 | 6.7% | 223 | 213 | $6K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.7% | 134 | 125 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 158 | 155 | $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 | 1.9% | 62 | 58 | $2K |
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.