Physician
Shah, Jalpa
Shah, Jalpa was paid $260K by Medicaid between Sep 2020 and May 2023, across 10 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 40% of everything it billed.
33Billing provider infoSHAH, JALPA
WEST NYACK, NY 10994
WEST NYACK, NY 10994
33aNPI1588621791assigned 05/01/2006
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$260K
24GClaims2,269
24DCodes billed10
24AFirst – last monthSep 2020 – May 2023
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in New York
Rank by total paid#15 of 80
Median peer was paid$14K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2020 | 66 | $8K | |
| 2021 | 1,023 | $124K | |
| 2022 | 1,001 | $110K | |
| 2023 | 179 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 40% | 789 | 638 | $104K |
| 76819 | Fetal biophysical profile; without non-stress testing | 38% | 991 | 558 | $99K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 6.8% | 83 | 82 | $18K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.3% | 122 | 94 | $14K |
| 76820 | 3.8% | 186 | 120 | $10K | |
| 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 | 3.2% | 46 | 44 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $2K |
| 76801 | <1% | 13 | 13 | $2K | |
| 96040 | <1% | 15 | 15 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | 12 | $1K |
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.