Shah, Shailesh

Shah, Shailesh was paid $146K by Medicaid between Jan 2018 and Feb 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoSHAH, SHAILESH
DRACUT, MA 01826

33aNPI1144229584assigned 07/19/2005

33bProvider typePediatrics Physician

28Total paid$146K

24GClaims3,020

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#335 of 1,273

Median peer was paid$24K

This provider vs. median6.1×

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	1,359	$65K
2019	1,375	$67K
2020	286	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	1,024	899	$66K
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	36%	553	507	$52K
90460	Immunization administration through 18 years of age via any route, first or only component	9.3%	313	311	$14K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.6%	478	477	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.3%	160	159	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	88	87	$1K
90461		<1%	38	38	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	13	12	$1K
94664		<1%	66	64	$996.49
69210		<1%	28	25	$927.56
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	23	12	$305.76
90686		0%	236	236	$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.