Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Fair Lawn › NPI 1154372621
Physician

Shah, Nilay

Shah, Nilay was paid $3K by Medicaid between Mar 2018 and Jun 2023, across 6 billing codes. Its largest line is 95831, — 64% of everything it billed.

33Billing provider infoSHAH, NILAY
FAIR LAWN, NJ 07410
33aNPI1154372621assigned 05/12/2006
28Total paid$3K
24GClaims274
24DCodes billed6
24AFirst – last monthMar 2018 – Jun 2023
Compared with peers

Next to other Clinical Neurophysiology Physician providers in New Jersey

Rank by total paid#10 of 11
Median peer was paid$28K
This provider vs. median0.1×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
2018198$2K
202050$126.64
202112$253.80
202314$588.44
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95831 64% 104 102 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 26 24 $842.24
97750 3.5% 16 15 $94.64
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.2% 15 15 $32.00
99358 Prolong nursin fac eval 15m 0% 19 19 $0.00
95851 0% 94 92 $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.