Physician
Shah, Priya
Shah, Priya was paid $129K by Medicaid between Sep 2023 and Nov 2024, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 68% of everything it billed.
33Billing provider infoSHAH, PRIYA
DURHAM, NC 27705
DURHAM, NC 27705
33aNPI1689202939assigned 03/31/2020
33bProvider typeEmergency Medicine Physician
28Total paid$129K
24GClaims1,465
24DCodes billed3
24AFirst – last monthSep 2023 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in North Carolina
Rank by total paid#95 of 196
Median peer was paid$120K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2023 | 207 | $16K | |
| 2024incomplete | 1,258 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 68% | 943 | 871 | $87K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 465 | 420 | $34K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 6.3% | 57 | 44 | $8K |
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.