Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DARSHAN J SHAH MD LLC

NPI: 1366776775 · ENFIELD, CT 06082 · Internal Medicine Physician · NPI assigned 10/01/2009

$325K
Total Medicaid Paid
26,681
Total Claims
19,464
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAH, DARSHAN (MEMBER)
NPI Enumeration Date10/01/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,186 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,128 5,942 $243K
99308 Subsequent nursing facility care, per day, straightforward 2,353 2,017 $58K
99305 358 263 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 160 79 $4K
93000 355 161 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 67 56 $1K
90756 36 36 $635.41
90686 15 13 $190.30
99497 152 146 $166.83
81002 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) 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 2,148 1,923 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 561 530 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 31 27 $0.00
3078F 830 775 $0.00
1159F 2,450 2,229 $0.00
1160F 2,662 2,214 $0.00
3725F 581 548 $0.00
3074F 703 657 $0.00
3017F 320 282 $0.00
3075F 121 111 $0.00
1101F 281 269 $0.00
1126F 133 132 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 135 134 $0.00
G0008 Administration of influenza virus vaccine 65 64 $0.00
1170F 135 134 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 118 116 $0.00
1123F 138 136 $0.00
1125F 120 119 $0.00
3014F 37 33 $0.00
3079F 14 13 $0.00
90694 17 17 $0.00