Physician
Shah, Nilesh
Shah, Nilesh was paid $1.94M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSHAH, NILESH
DELANO, CA 93215
DELANO, CA 93215
33aNPI1508937442assigned 11/13/2006
33bProvider typePediatrics Physician
28Total paid$1.94M
24GClaims58,699
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#75 of 1,490
Median peer was paid$15K
This provider vs. median129×
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 | 9,124 | $224K | |
| 2019 | 10,478 | $258K | |
| 2020 | 7,027 | $179K | |
| 2021 | 8,345 | $261K | |
| 2022 | 8,329 | $282K | |
| 2023 | 8,495 | $273K | |
| 2024incomplete | 6,901 | $463K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 23,130 | 16,920 | $967K |
| 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 | 15% | 6,031 | 5,385 | $297K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.8% | 1,871 | 1,861 | $132K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 1,989 | 1,978 | $119K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 1,669 | 1,660 | $94K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.4% | 1,770 | 1,687 | $66K |
| 92551 | 3.2% | 4,938 | 4,887 | $62K | |
| 87428 | 2.7% | 847 | 817 | $52K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 1,437 | 1,261 | $42K |
| 99173 | 1.1% | 4,866 | 4,832 | $21K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 374 | 363 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,577 | 2,440 | $16K |
22 more codes
| 90686 | <1% | 1,340 | $13K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 774 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 127 | $9K |
| 86580 | <1% | 1,000 | $3K | |
| 90670 | <1% | 274 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 410 | $2K |
| 90651 | <1% | 214 | $2K | |
| 94760 | <1% | 957 | $1K | |
| 90700 | <1% | 114 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $1K |
| 99381 | <1% | 13 | $940.80 | |
| 99382 | <1% | 13 | $765.83 | |
| 90734 | <1% | 47 | $629.22 | |
| 90707 | <1% | 54 | $585.00 | |
| 90633 | <1% | 41 | $416.25 | |
| 90716 | <1% | 26 | $270.00 | |
| 90698 | <1% | 25 | $254.25 | |
| 90685 | <1% | 13 | $146.25 | |
| 85018 | <1% | 103 | $126.57 | |
| 81002 | <1% | 76 | $94.60 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 1,554 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $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.