Shah, Pankajkumar

Shah, Pankajkumar was paid $949K by Medicaid between Dec 2018 and Dec 2024, across 16 billing codes. Its largest line is V2020, Frames, purchases — 40% of everything it billed.

33Billing provider infoSHAH, PANKAJKUMAR
MISSION, TX 78572

33aNPI1518959758assigned 08/15/2005

33bProvider typeOphthalmology Physician

28Total paid$949K

24GClaims53,677

24DCodes billed16

24AFirst – last monthDec 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#8 of 231

Median peer was paid$16K

This provider vs. median61×

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	20	$293.74
2019	105	$2K
2020	2,498	$43K
2021	11,920	$216K
2022	13,519	$249K
2023	12,795	$242K
2024incomplete	12,820	$196K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	40%	22,984	22,639	$379K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	27%	14,911	13,149	$255K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	15%	8,023	7,631	$146K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	5.3%	3,439	3,073	$50K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3.1%	843	792	$29K
S0621	Routine ophthalmological examination including refraction; established patient	2.2%	493	492	$21K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	1.9%	1,259	1,160	$18K
S0620	Routine ophthalmological examination including refraction; new patient	1.6%	341	341	$15K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	1.5%	520	441	$14K
V2108	Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	592	541	$8K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	<1%	163	163	$7K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	25	25	$2K

4 more codes

92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	13	$2K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	25	$757.24
V2109	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens	<1%	30	$752.99
V2025	Deluxe frame	<1%	16	$610.34

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.