Physician
Hetal C. Shah, M.D., P.C.
Hetal C. Shah, M.D., P.C. was paid $6.41M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 26% of everything it billed.
33Billing provider infoHETAL C. SHAH, M.D., P.C.
PHOENIX, AZ 85031
PHOENIX, AZ 85031
33aNPI1437189404assigned 07/04/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$6.41M
24GClaims87,168
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Arizona
Rank by total paid#1 of 141
Median peer was paid$29K
This provider vs. median225×
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 | 14,853 | $1.19M | |
| 2019 | 11,752 | $866K | |
| 2020 | 11,047 | $879K | |
| 2021 | 15,824 | $1.02M | |
| 2022 | 16,321 | $1.24M | |
| 2023 | 10,256 | $707K | |
| 2024incomplete | 7,115 | $507K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 26% | 1,034 | 994 | $1.69M |
| 76819 | Fetal biophysical profile; without non-stress testing | 11% | 9,785 | 3,981 | $676K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 26,971 | 19,320 | $606K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 9.2% | 6,494 | 5,996 | $589K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 4.8% | 3,647 | 3,444 | $307K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.8% | 2,701 | 2,662 | $305K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.5% | 3,300 | 3,275 | $290K |
| 76830 | Ultrasound, transvaginal | 3.1% | 2,135 | 2,004 | $202K |
| 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 | 3.0% | 3,238 | 3,056 | $189K |
| 59510 | 2.9% | 105 | 100 | $186K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.7% | 2,555 | 2,483 | $171K |
| 59514 | 2.4% | 920 | 896 | $156K |
28 more codes
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.4% | 2,370 | $154K |
| 76801 | 2.4% | 1,582 | $154K | |
| 76813 | 2.4% | 1,596 | $152K | |
| 59426 | 1.5% | 144 | $97K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 1,421 | $75K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 960 | $73K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,468 | $63K |
| 59425 | <1% | 64 | $36K | |
| 90715 | <1% | 1,084 | $32K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,457 | $31K |
| 81025 | <1% | 4,853 | $30K | |
| 76820 | <1% | 625 | $25K | |
| 99385 | <1% | 195 | $21K | |
| 76857 | <1% | 557 | $21K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 155 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 315 | $12K |
| 90686 | <1% | 596 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 90 | $10K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 61 | $8K |
| 99441 | <1% | 139 | $6K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 426 | $4K |
| 76998 | <1% | 51 | $3K | |
| 59430 | <1% | 13 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 174 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 840 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $252.71 |
| 90749 | <1% | 19 | $96.00 |
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, HETAL (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Elmwood Family Physicians | Marlton, NJ | $689K |
| Arizona Medical Group | Phoenix, AZ | $7K |
| Health First Pharmacy Corp | Framingham, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.