Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Clifton › NPI 1356358709
Physician

Shah, Vinay

Shah, Vinay was paid $158K by Medicaid between Feb 2018 and Oct 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoSHAH, VINAY
CLIFTON, NJ 07011
33aNPI1356358709assigned 08/01/2006
28Total paid$158K
24GClaims3,645
24DCodes billed11
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New Jersey

Rank by total paid#70 of 186
Median peer was paid$75K
This provider vs. median2.1×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018156$7K
2019306$14K
2020855$41K
2021806$43K
2022940$37K
2023333$9K
2024incomplete249$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70% 2,484 2,062 $112K
76830 Ultrasound, transvaginal 15% 268 264 $23K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4.9% 109 107 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3.6% 64 64 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.7% 49 47 $3K
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 1.5% 33 33 $2K
99386 1.2% 24 24 $2K
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% 15 15 $1K
81025 <1% 207 201 $682.81
99385 <1% 12 12 $599.44
96127 <1% 380 221 $461.47

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.