Physician
Shah, Shefali
Shah, Shefali was paid $10K by Medicaid between Nov 2022 and Jun 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoSHAH, SHEFALI
OAKHURST, NJ 07755
OAKHURST, NJ 07755
33aNPI1720469950assigned 06/12/2015
33bProvider typeInternal Medicine Physician
28Total paid$10K
24GClaims103
24DCodes billed3
24AFirst – last monthNov 2022 – Jun 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#662 of 1,027
Median peer was paid$30K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 27 | $32.30 | |
| 2023 | 25 | $3K | |
| 2024incomplete | 51 | $7K |
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 | 70% | 51 | 51 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 30% | 38 | 38 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 14 | 14 | $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.