Shah, Pradip

Shah, Pradip was paid $65K by Medicaid between Jan 2022 and Sep 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 52% of everything it billed.

33Billing provider infoSHAH, PRADIP
EDISON, NJ 08820

33aNPI1437175155assigned 07/14/2006

33bProvider typeInfectious Disease Physician

28Total paid$65K

24GClaims4,069

24DCodes billed5

24AFirst – last monthJan 2022 – Sep 2024

Compared with peers

Next to other Infectious Disease Physician providers in New Jersey

Rank by total paid#39 of 86

Median peer was paid$47K

This provider vs. median1.4×

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
2022	1,355	$21K
2023	2,309	$34K
2024incomplete	405	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	52%	2,328	525	$34K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	40%	1,502	294	$26K
99222	Initial hospital care, per day, moderate complexity	6.8%	200	167	$4K
99223	Prolong inpt eval add15 m	1.4%	23	14	$877.28
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%	16	12	$200.00

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.