Physician
Shams Nandwani, MD, PA
Shams Nandwani, MD, PA was paid $5.05M by Medicaid between Jun 2019 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoSHAMS NANDWANI, MD, PA
SPRING, TX 77379
SPRING, TX 77379
33aNPI1790939221assigned 11/11/2008
33bProvider typePediatrics Physician
28Total paid$5.05M
24GClaims250,105
24DCodes billed62
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#80 of 1,136
Median peer was paid$329K
This provider vs. median15×
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 | 534 | $7K | |
| 2020 | 11,743 | $176K | |
| 2021 | 58,844 | $1.07M | |
| 2022 | 64,210 | $1.28M | |
| 2023 | 62,332 | $1.34M | |
| 2024incomplete | 52,442 | $1.18M |
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 | 25% | 34,056 | 30,005 | $1.24M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 7,412 | 7,284 | $582K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.4% | 6,079 | 5,922 | $475K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 37,727 | 17,552 | $406K |
| S8301 | Infection control supplies, not otherwise specified | 6.7% | 18,098 | 15,757 | $338K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | 6.5% | 9,168 | 8,254 | $329K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 3,821 | 3,743 | $322K |
| 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 | 5.4% | 5,402 | 5,106 | $275K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.7% | 13,690 | 6,580 | $189K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 3,854 | 3,663 | $170K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 1,650 | 1,621 | $153K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 16,971 | 14,296 | $135K |
50 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 5,913 | $81K |
| 99381 | 1.4% | 852 | $72K | |
| 99000 | 1.1% | 5,218 | $54K | |
| 90461 | <1% | 9,575 | $46K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,157 | $29K |
| 99383 | <1% | 232 | $22K | |
| 92551 | <1% | 7,371 | $21K | |
| 87807 | <1% | 1,750 | $19K | |
| 99429 | <1% | 515 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 527 | $13K |
| 99050 | <1% | 914 | $13K | |
| 99382 | <1% | 94 | $9K | |
| 99384 | <1% | 64 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 90 | $6K |
| 96160 | <1% | 2,205 | $5K | |
| 90651 | <1% | 826 | $4K | |
| 90619 | <1% | 397 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 193 | $3K |
| 99072 | <1% | 1,067 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 222 | $2K |
| 90686 | <1% | 3,811 | $2K | |
| 81002 | <1% | 637 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 59 | $620.37 |
| 99441 | <1% | 23 | $570.55 | |
| 90677 | <1% | 1,152 | $511.29 | |
| 94760 | <1% | 2,194 | $393.27 | |
| 90734 | <1% | 342 | $324.18 | |
| 97169 | <1% | 12 | $120.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 19 | $106.77 |
| 90744 | <1% | 2,301 | $54.08 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 37 | $32.98 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 41 | $14.14 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 59 | $13.96 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 8,986 | $5.32 |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | <1% | 626 | $0.14 |
| 99173 | <1% | 7,620 | $0.10 | |
| 90713 | 0% | 561 | $0.00 | |
| 90670 | 0% | 4,087 | $0.00 | |
| 90633 | 0% | 2,350 | $0.00 | |
| 90707 | 0% | 2,192 | $0.00 | |
| 90648 | 0% | 735 | $0.00 | |
| 90715 | 0% | 472 | $0.00 | |
| 90700 | 0% | 1,718 | $0.00 | |
| 90698 | 0% | 3,943 | $0.00 | |
| 90680 | 0% | 3,386 | $0.00 | |
| 90716 | 0% | 2,217 | $0.00 | |
| 90696 | 0% | 232 | $0.00 | |
| 96127 | 0% | 144 | $0.00 | |
| 97802 | 0% | 26 | $0.00 | |
| 94761 | 0% | 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.
From NPPES
Who's on the registration
Authorized officialNANDWANI, SHAMS (PHYSICIAN)