Shah Enterprises LLC

Shah Enterprises LLC was paid $28K by Medicaid between Jan 2018 and Dec 2018, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoSHAH ENTERPRISES LLC
HILLSBORO, MO 63050

33aNPI1275728305assigned 09/12/2007

33bProvider typeHealth Maintenance Organization

28Total paid$28K

24GClaims1,552

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Health Maintenance Organization providers in Missouri

Rank by total paid#11 of 12

Median peer was paid$436K

This provider vs. median0.1×

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	1,552	$28K

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	52%	485	425	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	332	279	$9K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	109	26	$4K
80305		1.3%	295	266	$354.77
82962		<1%	331	280	$99.01

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, SUDHIRKUMAR (MEDICAL DIRECTOR)