Physician
Darshan J Shah MD LLC
Darshan J Shah MD LLC was paid $325K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoDARSHAN J SHAH MD LLC
ENFIELD, CT 06082
ENFIELD, CT 06082
33aNPI1366776775assigned 10/01/2009
33bProvider typeInternal Medicine Physician
28Total paid$325K
24GClaims26,681
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Connecticut
Rank by total paid#57 of 295
Median peer was paid$35K
This provider vs. median9.2×
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 | 2,020 | $48K | |
| 2019 | 2,264 | $49K | |
| 2020 | 2,710 | $55K | |
| 2021 | 2,904 | $45K | |
| 2022 | 3,816 | $47K | |
| 2023 | 5,781 | $43K | |
| 2024incomplete | 7,186 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 75% | 11,128 | 5,942 | $243K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 18% | 2,353 | 2,017 | $58K |
| 99305 | 4.6% | 358 | 263 | $15K | |
| 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 | 1.3% | 160 | 79 | $4K |
| 93000 | <1% | 355 | 161 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 67 | 56 | $1K |
| 90756 | <1% | 36 | 36 | $635.41 | |
| 90686 | <1% | 15 | 13 | $190.30 | |
| 99497 | <1% | 152 | 146 | $166.83 | |
| 81002 | <1% | 411 | 269 | $61.37 | |
| 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% | 46 | 19 | $51.30 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 2,148 | 1,923 | $0.00 |
20 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 561 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 31 | $0.00 |
| 3078F | 0% | 830 | $0.00 | |
| 1159F | 0% | 2,450 | $0.00 | |
| 1160F | 0% | 2,662 | $0.00 | |
| 3725F | 0% | 581 | $0.00 | |
| 3074F | 0% | 703 | $0.00 | |
| 3017F | 0% | 320 | $0.00 | |
| 3075F | 0% | 121 | $0.00 | |
| 1101F | 0% | 281 | $0.00 | |
| 1126F | 0% | 133 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 135 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 65 | $0.00 |
| 1170F | 0% | 135 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 118 | $0.00 |
| 1123F | 0% | 138 | $0.00 | |
| 1125F | 0% | 120 | $0.00 | |
| 3014F | 0% | 37 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 90694 | 0% | 17 | $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, DARSHAN (MEMBER)