Physician
Shah, Himanshu
Shah, Himanshu was paid $1.20M by Medicaid between Jan 2018 and Jul 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSHAH, HIMANSHU
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
33aNPI1821090085assigned 06/01/2005
33bProvider typePediatrics Physician
28Total paid$1.20M
24GClaims32,903
24DCodes billed38
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#31 of 119
Median peer was paid$395K
This provider vs. median3.0×
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 | 5,957 | $193K | |
| 2019 | 6,649 | $193K | |
| 2020 | 5,700 | $176K | |
| 2021 | 4,497 | $185K | |
| 2022 | 4,447 | $186K | |
| 2023 | 4,030 | $174K | |
| 2024incomplete | 1,623 | $94K |
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 | 39% | 8,219 | 6,772 | $466K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 2,055 | 1,843 | $169K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 1,886 | 1,687 | $155K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,584 | 1,379 | $127K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 1,115 | 1,007 | $95K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 4,655 | 3,962 | $50K |
| 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 | 2.4% | 339 | 317 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 821 | 703 | $28K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 2,448 | 1,900 | $27K |
| 99460 | 1.1% | 220 | 197 | $13K | |
| 92551 | <1% | 1,638 | 1,447 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 196 | 172 | $9K |
26 more codes
| 99462 | <1% | 147 | $4K | |
| 99173 | <1% | 2,061 | $3K | |
| 81002 | <1% | 1,106 | $3K | |
| 90473 | <1% | 240 | $3K | |
| 54150 | <1% | 28 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 184 | $2K |
| 90474 | <1% | 180 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 40 | $971.78 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 65 | $745.08 |
| 90670 | <1% | 860 | $411.57 | |
| 90651 | <1% | 99 | $294.91 | |
| 90698 | <1% | 772 | $203.84 | |
| 90686 | <1% | 842 | $128.71 | |
| 90734 | <1% | 69 | $105.58 | |
| 90680 | <1% | 215 | $90.61 | |
| 90685 | <1% | 73 | $40.02 | |
| 90633 | <1% | 207 | $39.31 | |
| 90619 | 0% | 52 | $0.00 | |
| 90696 | 0% | 28 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 90744 | 0% | 84 | $0.00 | |
| 90677 | 0% | 17 | $0.00 | |
| 90710 | 0% | 34 | $0.00 | |
| 90672 | 0% | 271 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 90707 | 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.