Shalwala, Ajay

Shalwala, Ajay was paid $44K by Medicaid between May 2018 and Feb 2021, across 11 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 36% of everything it billed.

33Billing provider infoSHALWALA, AJAY
MARSHALL, MN 56258

33aNPI1770711889assigned 06/26/2009

33bProvider typeOphthalmology Physician

28Total paid$44K

24GClaims1,121

24DCodes billed11

24AFirst – last monthMay 2018 – Feb 2021

Compared with peers

Next to other Ophthalmology Physician providers in Minnesota

Rank by total paid#15 of 30

Median peer was paid$43K

This provider vs. median1.0×

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	86	$0.00
2019	369	$3K
2020	596	$36K
2021	70	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0621	Routine ophthalmological examination including refraction; established patient	36%	236	234	$16K
V2020	Frames, purchases	30%	477	459	$13K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	11%	43	43	$5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	11%	164	162	$5K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	6.5%	37	29	$3K
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	2.7%	12	12	$1K
V2784	Lens, polycarbonate or equal, any index, per lens	2.4%	29	26	$1K
92015	Determination of refractive state	0%	13	13	$0.00
V2799	Vision item or service, miscellaneous	0%	13	13	$0.00
S0620	Routine ophthalmological examination including refraction; new patient	0%	81	81	$0.00
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	0%	16	13	$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.