Physician
Shah, Hetal
Shah, Hetal was paid $1.77M by Medicaid between Jan 2018 and Aug 2021, across 25 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 48% of everything it billed.
33Billing provider infoSHAH, HETAL
PHOENIX, AZ 85031
PHOENIX, AZ 85031
33aNPI1750363255assigned 11/18/2005
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$1.77M
24GClaims22,406
24DCodes billed25
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in Arizona
Rank by total paid#2 of 15
Median peer was paid$273K
This provider vs. median6.5×
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 | 6,636 | $490K | |
| 2019 | 5,422 | $414K | |
| 2020 | 6,181 | $450K | |
| 2021 | 4,167 | $421K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 48% | 484 | 460 | $844K |
| 76819 | Fetal biophysical profile; without non-stress testing | 15% | 4,087 | 1,667 | $264K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 11% | 2,414 | 2,207 | $201K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 5.6% | 967 | 961 | $99K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 3.5% | 800 | 772 | $62K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 8,969 | 5,175 | $46K |
| 76813 | 2.3% | 477 | 470 | $41K | |
| 76801 | 2.3% | 467 | 460 | $41K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.0% | 588 | 535 | $35K |
| 76830 | Ultrasound, transvaginal | 1.9% | 407 | 391 | $33K |
| 59510 | 1.7% | 15 | 13 | $31K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.1% | 294 | 225 | $19K |
13 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 499 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 443 | $10K |
| 90715 | <1% | 313 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 443 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 164 | $6K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 58 | $4K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 24 | $3K |
| 90686 | <1% | 146 | $3K | |
| 76998 | <1% | 26 | $1K | |
| 76857 | <1% | 17 | $662.48 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 46 | $498.65 |
| 81025 | <1% | 61 | $440.61 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 197 | $383.21 |
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.