Physician
Shaw, Pravin
Shaw, Pravin was paid $521K by Medicaid between Nov 2018 and Aug 2022, across 8 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 46% of everything it billed.
33Billing provider infoSHAW, PRAVIN
COSTA MESA, CA 92626
COSTA MESA, CA 92626
33aNPI1407136187assigned 08/25/2011
33bProvider typeFamily Medicine Physician
28Total paid$521K
24GClaims20,012
24DCodes billed8
24AFirst – last monthNov 2018 – Aug 2022
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#253 of 2,511
Median peer was paid$13K
This provider vs. median41×
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 | 33 | $1K | |
| 2019 | 202 | $6K | |
| 2021 | 6,811 | $163K | |
| 2022 | 12,966 | $351K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 46% | 7,544 | 4,162 | $241K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 19% | 2,874 | 1,191 | $99K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 2,899 | 1,215 | $74K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 9.6% | 2,350 | 2,279 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.5% | 3,779 | 1,975 | $50K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 235 | 96 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 167 | 140 | $38.18 |
| 99072 | 0% | 164 | 138 | $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.