Physician
Vinay R Shah MD PC
Vinay R Shah MD PC was paid $288K by Medicaid between Mar 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoVINAY R SHAH MD PC
CLIFTON, NJ 07011
CLIFTON, NJ 07011
33aNPI1740690437assigned 05/02/2014
33bProvider typeObstetrics & Gynecology Physician
28Total paid$288K
24GClaims7,829
24DCodes billed12
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New Jersey
Rank by total paid#55 of 186
Median peer was paid$75K
This provider vs. median3.9×
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 | 106 | $4K | |
| 2019 | 131 | $6K | |
| 2020 | 705 | $36K | |
| 2021 | 1,626 | $74K | |
| 2022 | 2,106 | $66K | |
| 2023 | 1,991 | $64K | |
| 2024incomplete | 1,164 | $38K |
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 | 53% | 3,094 | 2,824 | $152K |
| 76830 | Ultrasound, transvaginal | 18% | 761 | 736 | $51K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 9.6% | 471 | 462 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.6% | 331 | 327 | $22K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.6% | 249 | 244 | $16K |
| 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 | 4.1% | 155 | 147 | $12K |
| 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% | 53 | 53 | $3K |
| 96127 | <1% | 781 | 759 | $2K | |
| 81025 | <1% | 400 | 379 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $434.92 |
| 0502F | 0% | 1,510 | 973 | $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.
From NPPES
Who's on the registration
Authorized officialSHAH, BINA (OFFICE MANAGER)