Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NILAY SHAH MD PC

NPI: 1578696605 · MAYWOOD, NJ 07607 · Neurology Physician · NPI assigned 03/14/2007

$254K
Total Medicaid Paid
7,403
Total Claims
5,990
Beneficiaries
25
Codes Billed
2021-08
First Month
2022-11
Last Month

Provider Details

Authorized OfficialSHAH, NILAY (OWNER)
NPI Enumeration Date03/14/2007

Related Entities

Other providers sharing the same authorized official: SHAH, NILAY

ProviderCityStateTotal Paid
MEDICAL DIAGNOSTIC SERVICES PC TARRYTOWN NY $279K
PRESTON SMILES PLLC DALLAS TX $36K
FUNCTIONAL HEALTHCARE PC MARLBORO NJ $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 139 $2K
2022 7,264 $252K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,970 1,347 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,266 944 $74K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 344 324 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 483 381 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 226 218 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 181 173 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 141 135 $7K
93000 485 460 $6K
93040 508 470 $4K
G0444 Annual depression screening, 5 to 15 minutes 307 296 $3K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 290 278 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 192 135 $2K
90674 42 39 $1K
99397 17 15 $939.78
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 24 $923.89
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 128 74 $918.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52 49 $659.16
82947 197 178 $587.29
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 16 $162.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 123 58 $149.83
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 13 $138.64
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 32 26 $130.32
36415 Collection of venous blood by venipuncture 49 48 $88.20
81002 15 15 $5.22
G8510 Screening for depression is documented as negative, a follow-up plan is not required 294 274 $0.00