Physician
Rupa K. Shah, MD, PC
Rupa K. Shah, MD, PC was paid $5.55M by Medicaid between Jan 2018 and Nov 2024, across 88 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoRUPA K. SHAH, MD, PC
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
33aNPI1275579906assigned 06/21/2006
33bProvider typePediatrics Physician
28Total paid$5.55M
24GClaims140,718
24DCodes billed88
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#6 of 87
Median peer was paid$147K
This provider vs. median38×
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 | 20,463 | $933K | |
| 2019 | 15,865 | $856K | |
| 2020 | 14,935 | $681K | |
| 2021 | 21,517 | $557K | |
| 2022 | 24,149 | $611K | |
| 2023 | 23,412 | $988K | |
| 2024incomplete | 20,377 | $921K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 15,913 | 15,039 | $1.46M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 20,738 | 19,565 | $1.30M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 5,317 | 5,266 | $713K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 4,722 | 4,228 | $572K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 3,655 | 3,604 | $489K |
| 96160 | 3.1% | 13,975 | 12,209 | $169K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 871 | 854 | $127K |
| 90686 | 1.7% | 5,201 | 5,149 | $96K | |
| 99072 | 1.4% | 26,775 | 25,251 | $78K | |
| 96154 | 1.4% | 1,338 | 1,299 | $75K | |
| D0191 | <1% | 3,699 | 3,673 | $49K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,244 | 3,914 | $48K |
76 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,567 | $44K |
| 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) | <1% | 2,812 | $36K |
| 96127 | <1% | 2,908 | $33K | |
| 90670 | <1% | 1,384 | $28K | |
| 99173 | <1% | 3,667 | $23K | |
| 90698 | <1% | 842 | $17K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 226 | $17K |
| 96167 | <1% | 296 | $14K | |
| 96161 | <1% | 762 | $12K | |
| 0071A | <1% | 321 | $12K | |
| 0072A | <1% | 288 | $11K | |
| 90680 | <1% | 521 | $11K | |
| 90656 | <1% | 423 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 937 | $9K |
| 90744 | <1% | 344 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 661 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 441 | $7K |
| 90685 | <1% | 297 | $6K | |
| 94760 | <1% | 3,039 | $6K | |
| 90633 | <1% | 240 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $4K |
| 99489 | Ccm add 20min | <1% | 40 | $4K |
| 0002A | <1% | 105 | $4K | |
| 90651 | <1% | 167 | $4K | |
| 99487 | Ccm add 20min | <1% | 60 | $3K |
| 90688 | <1% | 147 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 33 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,139 | $3K |
| 0001A | <1% | 59 | $2K | |
| 0154A | <1% | 53 | $2K | |
| 0074A | <1% | 59 | $2K | |
| 90734 | <1% | 92 | $2K | |
| 99383 | <1% | 14 | $2K | |
| 99382 | <1% | 12 | $2K | |
| 99381 | <1% | 14 | $2K | |
| 90696 | <1% | 62 | $1K | |
| 90710 | <1% | 61 | $1K | |
| 0054A | <1% | 37 | $1K | |
| 90715 | <1% | 56 | $1K | |
| 0082A | <1% | 29 | $1K | |
| 0081A | <1% | 27 | $1K | |
| 36416 | <1% | 609 | $1K | |
| 90707 | <1% | 45 | $988.20 | |
| 90700 | <1% | 44 | $966.24 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $919.75 |
| 99460 | <1% | 12 | $888.17 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | <1% | 87 | $864.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $862.50 |
| 90687 | <1% | 40 | $856.44 | |
| 91319 | <1% | 33 | $724.68 | |
| 90648 | <1% | 32 | $702.72 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 101 | $657.86 |
| 90716 | <1% | 27 | $592.92 | |
| 0083A | <1% | 13 | $520.00 | |
| 99401 | <1% | 12 | $501.10 | |
| 91320 | <1% | 15 | $438.54 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $426.50 |
| 87807 | <1% | 50 | $416.32 | |
| 99441 | <1% | 12 | $365.63 | |
| 90619 | <1% | 16 | $329.40 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 357 | $322.20 |
| 90677 | <1% | 14 | $285.48 | |
| 91318 | <1% | 13 | $285.48 | |
| 90697 | <1% | 12 | $263.52 | |
| 83655 | <1% | 28 | $254.38 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 16 | $224.84 |
| S9981 | Medical records copying fee, administrative | <1% | 12 | $218.70 |
| 88720 | <1% | 50 | $187.11 | |
| 81002 | <1% | 107 | $165.11 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 30 | $31.72 |
| 99000 | <1% | 4,705 | $27.43 | |
| 85018 | <1% | 12 | $21.60 | |
| 99051 | <1% | 2,127 | $10.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 30 | $4.31 |
| 99070 | 0% | 244 | $0.00 | |
| 1005F | 0% | 28 | $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, RUPA (COMPANY PRESIDENT MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Oregon Pediatrics Ne Portland PC | Portland, OR | $2.23M |
| Oregon Pediatrics- Meridian Park, LLC | Tualatin, OR | $1.24M |
| Oregon Pediatrics - Happy Valley, PC | Happy Valley, OR | $631K |
| Oregon Pediatrics-Oregon City, PC | Oregon City, OR | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.