Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHAH, NIRAJ

NPI: 1215248067 · JOLIET, IL 60436 · Internal Medicine Physician · NPI assigned 06/27/2010

$1.12M
Total Medicaid Paid
24,940
Total Claims
20,653
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,932 $238K
2019 9,586 $444K
2020 2,187 $91K
2021 3,013 $132K
2022 1,888 $72K
2023 1,818 $74K
2024 1,516 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,542 10,251 $521K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,904 4,375 $289K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 963 800 $81K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,016 943 $79K
99385 293 248 $33K
99232 Subsequent hospital care, per day, moderate complexity 1,043 386 $24K
99223 Prolong inpt eval add15 m 255 194 $17K
77067 Screening mammography, bilateral, including computer-aided detection 237 232 $13K
99386 94 84 $9K
0011A 122 121 $5K
99238 Hospital discharge day management, 30 minutes or less 151 107 $5K
0012A 104 104 $4K
96127 285 251 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 51 50 $4K
83036 Hemoglobin; glycosylated (A1C) 551 528 $3K
99253 71 66 $3K
71046 Radiologic examination, chest; 2 views 255 201 $3K
0013A 62 60 $3K
99308 Subsequent nursing facility care, per day, straightforward 139 123 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 104 37 $2K
90674 94 66 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53 53 $2K
99072 157 140 $2K
90756 66 58 $2K
92250 45 43 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 105 87 $2K
99234 25 24 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $1K
99384 15 15 $1K
90686 64 42 $1K
81025 338 305 $846.24
81003 272 250 $579.88
99309 Subsequent nursing facility care, per day, low to moderate complexity 23 19 $555.39
93000 18 16 $379.85
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 12 $205.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 22 12 $176.58
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 137 113 $40.38
82962 16 13 $26.88
36416 32 28 $20.50
91301 186 183 $0.00