Physician
Nilay Shah MD PC
Nilay Shah MD PC was paid $254K by Medicaid between Aug 2021 and Nov 2022, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoNILAY SHAH MD PC
MAYWOOD, NJ 07607
MAYWOOD, NJ 07607
33aNPI1578696605assigned 03/14/2007
33bProvider typeNeurology Physician
28Total paid$254K
24GClaims7,403
24DCodes billed25
24AFirst – last monthAug 2021 – Nov 2022
Compared with peers
Next to other Neurology Physician providers in New Jersey
Rank by total paid#18 of 112
Median peer was paid$12K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2021 | 139 | $2K | |
| 2022 | 7,264 | $252K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 1,970 | 1,347 | $84K |
| 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 | 29% | 1,266 | 944 | $74K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 344 | 324 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 483 | 381 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.4% | 226 | 218 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 181 | 173 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 141 | 135 | $7K |
| 93000 | 2.5% | 485 | 460 | $6K | |
| 93040 | 1.5% | 508 | 470 | $4K | |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.3% | 307 | 296 | $3K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 290 | 278 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 192 | 135 | $2K |
13 more codes
| 90674 | <1% | 42 | $1K | |
| 99397 | <1% | 17 | $939.78 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 29 | $923.89 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 128 | $918.20 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 52 | $659.16 |
| 82947 | <1% | 197 | $587.29 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18 | $162.60 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 123 | $149.83 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $138.64 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 32 | $130.32 |
| 36415 | Collection of venous blood by venipuncture | <1% | 49 | $88.20 |
| 81002 | <1% | 15 | $5.22 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 294 | $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.
From NPPES
Who's on the registration
Authorized officialSHAH, NILAY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Medical Diagnostic Services PC | Tarrytown, NY | $279K |
| Preston Smiles PLLC | Dallas, TX | $36K |
| Functional Healthcare PC | Marlboro, NJ | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.