Shah, Ketan

Shah, Ketan was paid $942K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.

33Billing provider infoSHAH, KETAN
WHEATON, IL 60187

33aNPI1689959900assigned 10/18/2011

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$942K

24GClaims11,199

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Illinois

Rank by total paid#9 of 355

Median peer was paid$56K

This provider vs. median17×

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
2018	1,129	$54K
2019	2,283	$152K
2020	2,091	$189K
2021	1,581	$152K
2022	1,522	$148K
2023	1,455	$126K
2024incomplete	1,138	$120K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	79%	8,408	6,531	$746K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	2,312	1,909	$130K
90792	Psychiatric diagnostic evaluation with medical services	6.9%	436	323	$65K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	28	24	$751.94
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	15	13	$253.57

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.