Shah, Shetal

Shah, Shetal was paid $15K by Medicaid between Feb 2018 and Oct 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 75% of everything it billed.

33Billing provider infoSHAH, SHETAL
BRENTWOOD, NY 11717

33aNPI1295066918assigned 01/20/2010

33bProvider typeOphthalmology Physician

28Total paid$15K

24GClaims595

24DCodes billed6

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#654 of 1,085

Median peer was paid$34K

This provider vs. median0.4×

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	112	$2K
2019	144	$4K
2020	49	$4K
2021	16	$1K
2022	49	$1K
2023	55	$672.11
2024incomplete	170	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	75%	256	253	$11K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	14%	121	118	$2K
92250		7.6%	95	91	$1K
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	2.8%	12	12	$422.57
83861		<1%	95	52	$128.58
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	16	16	$90.57

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.