Medicaid Provider Spending

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

SHAH, SUNIL

NPI: 1275517211 · OAK LAWN, IL 60453 · Internal Medicine Physician · NPI assigned 12/02/2005

$1.61M
Total Medicaid Paid
83,464
Total Claims
64,810
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,391 $226K
2019 18,328 $273K
2020 11,157 $249K
2021 10,168 $225K
2022 12,133 $276K
2023 9,665 $198K
2024 6,622 $162K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,117 14,075 $744K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,263 2,854 $221K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,468 2,168 $208K
99232 Subsequent hospital care, per day, moderate complexity 5,659 1,582 $146K
99222 Initial hospital care, per day, moderate complexity 1,543 1,413 $82K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 859 729 $72K
99238 Hospital discharge day management, 30 minutes or less 1,338 1,219 $39K
99233 Prolong inpt eval add15 m 793 264 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 732 629 $31K
99223 Prolong inpt eval add15 m 131 125 $12K
99334 1,047 973 $4K
99347 467 440 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 39 $4K
99406 625 488 $3K
99306 Prolong nursin fac eval 15m 28 28 $2K
99397 14 14 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 83 79 $456.01
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 421 354 $187.23
3008F 10,246 8,119 $46.56
83036 Hemoglobin; glycosylated (A1C) 13 12 $44.10
2000F 9,866 8,050 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,351 1,082 $0.00
2010F 9,136 7,490 $0.00
G9716 Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason 421 372 $0.00
2001F 9,105 7,462 $0.00
1036F 2,551 2,108 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 679 543 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 25 25 $0.00
1111F 63 58 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 263 219 $0.00
1034F 17 16 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 93 58 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 37 27 $0.00
99496 14 13 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 38 36 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,215 1,096 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 652 518 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 30 20 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 16 13 $0.00