Physician
Shah, Hiren
Shah, Hiren was paid $252K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 80% of everything it billed.
33Billing provider infoSHAH, HIREN
YORBA LINDA, CA 92886
YORBA LINDA, CA 92886
33aNPI1578664934assigned 09/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$252K
24GClaims7,430
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#385 of 2,511
Median peer was paid$13K
This provider vs. median20×
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 | 2,591 | $26K | |
| 2019 | 1,195 | $37K | |
| 2020 | 936 | $48K | |
| 2021 | 794 | $44K | |
| 2022 | 433 | $38K | |
| 2023 | 633 | $35K | |
| 2024incomplete | 848 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 80% | 1,824 | 1,794 | $203K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 2,354 | 590 | $38K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 323 | 170 | $6K |
| 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 | 1.1% | 240 | 228 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | 13 | $1K |
| 90970 | <1% | 23 | 13 | $683.40 | |
| 90674 | <1% | 47 | 47 | $28.51 | |
| 3008F | 0% | 425 | 383 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 45 | 45 | $0.00 |
| 3074F | 0% | 363 | 329 | $0.00 | |
| 3075F | 0% | 17 | 14 | $0.00 | |
| 3079F | 0% | 78 | 74 | $0.00 |
7 more codes
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.