Shah, Niraj

Shah, Niraj was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoSHAH, NIRAJ
JOLIET, IL 60436

33aNPI1215248067assigned 06/27/2010

33bProvider typeInternal Medicine Physician

28Total paid$1.12M

24GClaims24,940

24DCodes billed40

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#47 of 3,722

Median peer was paid$26K

This provider vs. median44×

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

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	46%	12,542	10,251	$521K
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	26%	4,904	4,375	$289K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	7.2%	963	800	$81K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	7.0%	1,016	943	$79K
99385		3.0%	293	248	$33K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.2%	1,043	386	$24K
99223	Prolong inpt eval add15 m	1.5%	255	194	$17K
77067	Screening mammography, bilateral, including computer-aided detection	1.1%	237	232	$13K
99386		<1%	94	84	$9K
0011A		<1%	122	121	$5K
99238	Hospital discharge day management, 30 minutes or less	<1%	151	107	$5K
0012A		<1%	104	104	$4K

28 more codes

96127		<1%	285	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	51	$4K
83036	Hemoglobin; glycosylated (A1C)	<1%	551	$3K
99253		<1%	71	$3K
71046	Radiologic examination, chest; 2 views	<1%	255	$3K
0013A		<1%	62	$3K
99308	Subsequent nursing facility care, per day, straightforward	<1%	139	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	104	$2K
90674		<1%	94	$2K
99203	Doctor's office visit, new patient (routine)	<1%	53	$2K
99072		<1%	157	$2K
90756		<1%	66	$2K
92250		<1%	45	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	105	$2K
99234		<1%	25	$2K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	13	$1K
99384		<1%	15	$1K
90686		<1%	64	$1K
81025		<1%	338	$846.24
81003		<1%	272	$579.88
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	23	$555.39
93000		<1%	18	$379.85
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	17	$205.50
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	22	$176.58
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	137	$40.38
82962		<1%	16	$26.88
36416		<1%	32	$20.50
91301		0%	186	$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.