Shah, Avani

Shah, Avani was paid $190K by Medicaid between Sep 2018 and Nov 2024, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 44% of everything it billed.

33Billing provider infoSHAH, AVANI
CHICAGO, IL 60654

33aNPI1790913036assigned 06/25/2009

33bProvider typePediatric Pulmonology Physician

28Total paid$190K

24GClaims4,535

24DCodes billed11

24AFirst – last monthSep 2018 – Nov 2024

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Illinois

Rank by total paid#10 of 26

Median peer was paid$143K

This provider vs. median1.3×

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
2018	187	$6K
2019	753	$25K
2020	681	$30K
2021	669	$33K
2022	822	$38K
2023	749	$30K
2024incomplete	674	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	44%	1,212	1,092	$83K
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	41%	1,387	1,240	$77K
94010		7.2%	1,532	1,433	$14K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.2%	199	77	$8K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.1%	62	26	$4K
99255		1.3%	28	27	$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%	13	13	$780.32
99253		<1%	12	12	$520.25
94060		<1%	33	32	$355.72
90686		<1%	44	36	$302.55
94726		<1%	13	13	$92.35

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.