Ashwin H Shah MD PC

Ashwin H Shah MD PC was paid $111K by Medicaid between Jan 2018 and Oct 2022, across 11 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 40% of everything it billed.

33Billing provider infoASHWIN H SHAH MD PC
MONROE, MI 48162

33aNPI1407995822assigned 02/05/2007

33bProvider typeUrology Physician

28Total paid$111K

24GClaims2,966

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2022

Compared with peers

Next to other Urology Physician providers in Michigan

Rank by total paid#13 of 41

Median peer was paid$22K

This provider vs. median5.1×

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

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	615	$26K
2019	764	$30K
2020	571	$22K
2021	603	$20K
2022	413	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	40%	1,819	1,635	$44K
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	34%	430	427	$37K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	428	408	$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	7.0%	135	135	$8K
52270		2.2%	12	12	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	40	40	$2K
52260		<1%	12	12	$966.72
99442		<1%	35	32	$647.67
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	14	14	$182.98
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	20	13	$65.17
J1071	Injection, testosterone cypionate, 1 mg	<1%	21	13	$59.88

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, ASHWIN (UROLOGIST)