Physician
Shah, Shilpa
Shah, Shilpa was paid $25K by Medicaid between Feb 2019 and Nov 2019, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoSHAH, SHILPA
NORTH CHARLESTON, SC 29406
NORTH CHARLESTON, SC 29406
33aNPI1710061270assigned 10/24/2006
33bProvider typePediatrics Physician
28Total paid$25K
24GClaims433
24DCodes billed8
24AFirst – last monthFeb 2019 – Nov 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#190 of 471
Median peer was paid$18K
This provider vs. median1.4×
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 | 433 | $25K |
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 | 47% | 171 | 170 | $12K |
| 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 | 26% | 65 | 65 | $7K |
| 90461 | 12% | 47 | 47 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 95 | 95 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 12 | 12 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 12 | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 12 | 12 | $344.52 |
| 90686 | 0% | 19 | 19 | $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.