Shah, Ashish

Shah, Ashish was paid $10K by Medicaid between Aug 2019 and Jun 2024, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 61% of everything it billed.

33Billing provider infoSHAH, ASHISH
BOURBONNAIS, IL 60914

33aNPI1780847384assigned 07/03/2008

33bProvider typeGastroenterology Physician

28Total paid$10K

24GClaims113

24DCodes billed4

24AFirst – last monthAug 2019 – Jun 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#213 of 370

Median peer was paid$16K

This provider vs. median0.6×

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	13	$600.85
2021	14	$444.96
2022	24	$834.73
2023	28	$4K
2024incomplete	34	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	61%	47	42	$6K
45380	Colonoscopy, flexible; with biopsy, single or multiple	21%	15	12	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	38	38	$1K
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	5.8%	13	13	$600.85

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.