Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › O Fallon › NPI 1215965660
Physician

Shah, Atul

Shah, Atul was paid $28K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 88% of everything it billed.

33Billing provider infoSHAH, ATUL
O FALLON, IL 62269
33aNPI1215965660assigned 06/28/2006
28Total paid$28K
24GClaims2,869
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Interventional Cardiology Physician providers in Illinois

Rank by total paid#54 of 113
Median peer was paid$22K
This provider vs. median1.2×

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$500$1.0K$1.5K2018201920202021202220232024
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
2018434$4K
2019519$4K
2020670$6K
2021427$4K
2022224$3K
2023290$4K
2024incomplete305$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 88% 2,684 2,306 $24K
93000 5.3% 99 98 $1K
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 3.7% 33 27 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.2% 41 41 $881.22
99152 <1% 12 12 $67.41

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.