Physician
Shah, Vaidehi
Shah, Vaidehi was paid $620K by Medicaid between Aug 2019 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSHAH, VAIDEHI
GAINESVILLE, VA 20155
GAINESVILLE, VA 20155
33aNPI1659663243assigned 05/14/2011
33bProvider typePediatrics Physician
28Total paid$620K
24GClaims16,006
24DCodes billed40
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#134 of 817
Median peer was paid$29K
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 | |
|---|---|---|---|
| 2019 | 214 | $8K | |
| 2020 | 1,236 | $45K | |
| 2021 | 1,931 | $75K | |
| 2022 | 3,508 | $133K | |
| 2023 | 4,796 | $191K | |
| 2024incomplete | 4,321 | $167K |
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 | 34% | 3,464 | 2,991 | $208K |
| 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 | 28% | 2,038 | 1,833 | $173K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 1,124 | 1,083 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 765 | 697 | $52K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 333 | 323 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 125 | 121 | $9K |
| 92551 | <1% | 622 | 598 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 416 | 404 | $6K |
| 90686 | <1% | 635 | 572 | $5K | |
| 99401 | <1% | 269 | 232 | $5K | |
| 90697 | <1% | 193 | 185 | $4K | |
| 90670 | <1% | 345 | 320 | $4K |
28 more codes
| 85018 | <1% | 1,852 | $4K | |
| 90671 | <1% | 73 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 382 | $3K |
| 99174 | <1% | 594 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 294 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 199 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 59 | $3K |
| 90677 | <1% | 161 | $2K | |
| 90680 | <1% | 183 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 64 | $2K |
| 99173 | <1% | 867 | $2K | |
| 90633 | <1% | 152 | $2K | |
| 90656 | <1% | 105 | $1K | |
| 0072A | <1% | 31 | $1K | |
| 96127 | <1% | 201 | $925.32 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $914.12 |
| 0071A | <1% | 21 | $840.00 | |
| 90698 | <1% | 72 | $739.55 | |
| 92587 | <1% | 29 | $445.83 | |
| 90619 | <1% | 28 | $428.43 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 63 | $160.68 |
| 90707 | <1% | 15 | $132.00 | |
| 90696 | <1% | 12 | $121.00 | |
| 90710 | <1% | 13 | $121.00 | |
| 90716 | <1% | 18 | $110.00 | |
| 36416 | <1% | 79 | $12.45 | |
| 91307 | <1% | 57 | $0.06 |
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.