Physician
Hemant Shah, M.D., P.C.
Hemant Shah, M.D., P.C. was paid $1.19M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoHEMANT SHAH, M.D., P.C.
JERSEY CITY, NJ 07307
JERSEY CITY, NJ 07307
33aNPI1255378790assigned 06/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.19M
24GClaims45,613
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#25 of 414
Median peer was paid$28K
This provider vs. median42×
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 | 6,245 | $237K | |
| 2019 | 6,243 | $229K | |
| 2020 | 5,258 | $153K | |
| 2021 | 6,664 | $184K | |
| 2022 | 8,640 | $162K | |
| 2023 | 7,792 | $126K | |
| 2024incomplete | 4,771 | $95K |
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 | 60% | 23,083 | 13,832 | $712K |
| 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 | 9.2% | 1,892 | 1,848 | $109K |
| 95923 | 4.1% | 1,394 | 1,282 | $48K | |
| 94060 | 4.0% | 2,082 | 1,837 | $47K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.5% | 824 | 711 | $42K |
| 95921 | 2.9% | 1,401 | 1,292 | $34K | |
| 93922 | 2.2% | 1,183 | 1,073 | $26K | |
| 93923 | 2.1% | 537 | 534 | $25K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.7% | 129 | 129 | $20K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 175 | 175 | $17K |
| 93000 | <1% | 1,727 | 1,565 | $11K | |
| G0008 | Administration of influenza virus vaccine | <1% | 1,079 | 993 | $10K |
31 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,052 | $10K |
| 93925 | <1% | 112 | $10K | |
| 90674 | <1% | 463 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,155 | $10K |
| 93880 | <1% | 103 | $7K | |
| 99397 | <1% | 266 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 128 | $5K |
| 93978 | <1% | 72 | $5K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 443 | $4K |
| 99441 | <1% | 300 | $3K | |
| 90686 | <1% | 187 | $3K | |
| 77080 | <1% | 150 | $2K | |
| 90662 | <1% | 318 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 451 | $1K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 103 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,115 | $830.18 |
| 99457 | <1% | 549 | $680.41 | |
| 99454 | <1% | 258 | $631.03 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 62 | $244.20 |
| 82947 | <1% | 113 | $177.09 | |
| 96127 | <1% | 64 | $101.41 | |
| 99453 | <1% | 29 | $28.65 | |
| 97802 | <1% | 30 | $16.27 | |
| 82962 | <1% | 13 | $13.88 | |
| 99458 | <1% | 39 | $8.00 | |
| 1158F | <1% | 136 | $6.00 | |
| 1160F | <1% | 136 | $2.00 | |
| 1159F | <1% | 136 | $2.00 | |
| 1170F | 0% | 30 | $0.00 | |
| 1126F | 0% | 30 | $0.00 | |
| 99072 | 0% | 64 | $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.
From NPPES
Who's on the registration
Authorized officialSHAH, HEMANT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Jacksonville Pain Center PA | Jacksonville, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.