Shah, Mitanshu

Shah, Mitanshu was paid $222K by Medicaid between Dec 2018 and Nov 2024, across 14 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 26% of everything it billed.

33Billing provider infoSHAH, MITANSHU
FLUSHING, NY 11355

33aNPI1215240221assigned 07/19/2010

33bProvider typeGastroenterology Physician

28Total paid$222K

24GClaims7,280

24DCodes billed14

24AFirst – last monthDec 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#127 of 656

Median peer was paid$12K

This provider vs. median18×

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	16	$530.38
2019	254	$4K
2020	378	$10K
2021	548	$13K
2022	1,278	$23K
2023	2,937	$94K
2024incomplete	1,869	$78K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	26%	635	624	$58K
99222	Initial hospital care, per day, moderate complexity	21%	1,815	1,740	$46K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	19%	3,484	1,071	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	576	548	$29K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	386	385	$26K
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	5.7%	212	207	$13K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.1%	12	12	$3K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	15	14	$2K
43246		<1%	15	12	$1K
88313		<1%	15	14	$544.92
99305		<1%	52	52	$417.80
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	19	13	$414.75

2 more codes

99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	24	$274.53
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	20	$262.17

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.