Physician
Shah, Vinay
Shah, Vinay was paid $250K by Medicaid between Jan 2018 and Jun 2024, across 52 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 19% of everything it billed.
33Billing provider infoSHAH, VINAY
BRONX, NY 10472
BRONX, NY 10472
33aNPI1548393150assigned 03/13/2007
33bProvider typeAdolescent Medicine (Family Medicine) Physician
28Total paid$250K
24GClaims104,689
24DCodes billed52
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Adolescent Medicine (Family Medicine) Physician providers in New York
Rank by total paid#4 of 9
Median peer was paid$5K
This provider vs. median52×
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 | 17,162 | $123K | |
| 2019 | 24,644 | $60K | |
| 2020 | 18,835 | $17K | |
| 2021 | 16,030 | $13K | |
| 2022 | 15,577 | $12K | |
| 2023 | 11,261 | $23K | |
| 2024incomplete | 1,180 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 19% | 4,242 | 3,845 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 5,738 | 5,256 | $44K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 15% | 2,982 | 2,823 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,595 | 2,261 | $28K |
| 90660 | 8.1% | 1,191 | 1,190 | $20K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.8% | 2,206 | 2,180 | $19K |
| 90658 | 4.5% | 1,552 | 1,548 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 7,671 | 7,079 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 1,192 | 1,152 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 580 | 443 | $5K |
| 83655 | 1.9% | 2,249 | 2,228 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 154 | 146 | $4K |
40 more codes
| 90649 | 1.5% | 51 | $4K | |
| G0306 | Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count | <1% | 1,416 | $2K |
| 90461 | <1% | 414 | $1K | |
| 99383 | <1% | 85 | $1K | |
| 90734 | <1% | 768 | $690.00 | |
| 99384 | <1% | 91 | $558.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,868 | $529.47 |
| 90716 | <1% | 131 | $501.52 | |
| 90715 | <1% | 448 | $339.16 | |
| 90707 | <1% | 87 | $275.83 | |
| 90633 | <1% | 615 | $250.00 | |
| 90670 | <1% | 568 | $180.00 | |
| 90680 | <1% | 310 | $135.13 | |
| 90744 | <1% | 143 | $105.00 | |
| 99441 | <1% | 51 | $71.79 | |
| 90696 | <1% | 241 | $45.00 | |
| 90710 | <1% | 569 | $45.00 | |
| 90713 | <1% | 14 | $30.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 14,307 | $18.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 4,472 | $9.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,217 | $1.93 |
| H0001 | Alcohol and/or drug assessment | <1% | 4,193 | $1.27 |
| 3008F | <1% | 17,040 | $0.22 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 68 | $0.06 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 3,687 | $0.00 |
| 99381 | 0% | 116 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 320 | $0.00 |
| 1036F | 0% | 2,995 | $0.00 | |
| 1000F | 0% | 2,889 | $0.00 | |
| 90698 | 0% | 194 | $0.00 | |
| 90732 | 0% | 47 | $0.00 | |
| 97802 | 0% | 155 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 3725F | 0% | 2,629 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 4,018 | $0.00 |
| 3016F | 0% | 3,168 | $0.00 | |
| 99499 | 0% | 190 | $0.00 | |
| 99080 | 0% | 679 | $0.00 | |
| 99382 | 0% | 45 | $0.00 | |
| 90648 | 0% | 26 | $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.