Physician
Shah, Shaily
Shah, Shaily was paid $6K by Medicaid between Nov 2019 and Oct 2020, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 73% of everything it billed.
33Billing provider infoSHAH, SHAILY
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
33aNPI1518386663assigned 04/15/2014
33bProvider typeOphthalmology Physician
28Total paid$6K
24GClaims37
24DCodes billed2
24AFirst – last monthNov 2019 – Oct 2020
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#529 of 759
Median peer was paid$35K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 12 | $2K | |
| 2020 | 25 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 73% | 25 | 25 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 12 | 12 | $2K |
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.