Medicaid Provider Spending

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

PRADIP A. SHAH, M.D. P.C.

NPI: 1235455098 · EDISON, NJ 08820 · Infectious Disease Physician · NPI assigned 04/19/2010

$298K
Total Medicaid Paid
12,711
Total Claims
4,218
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSHAH, PRADIP (OWNER)
NPI Enumeration Date04/19/2010

Related Entities

Other providers sharing the same authorized official: SHAH, PRADIP

ProviderCityStateTotal Paid
RAVI PATEL M.D. INC BAKERSFIELD CA $21.28M
LENS & FRAMES INC. DAYTON NJ $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,397 $34K
2019 1,653 $53K
2020 2,431 $78K
2021 3,257 $87K
2022 1,642 $16K
2023 1,597 $21K
2024 734 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 8,333 2,001 $180K
99233 Prolong inpt eval add15 m 2,239 480 $62K
99223 Prolong inpt eval add15 m 641 611 $24K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 878 737 $20K
99222 Initial hospital care, per day, moderate complexity 287 255 $5K
99255 12 12 $3K
99308 Subsequent nursing facility care, per day, straightforward 120 24 $2K
99215 Prolong outpt/office vis 32 30 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 117 26 $951.92
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52 42 $588.94