Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Shah, Ketan

Shah, Ketan was paid $11K by Medicaid between Mar 2018 and May 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 63% of everything it billed.

33Billing provider infoSHAH, KETAN
COLUMBIA, IL 62236
33aNPI1841306693assigned 08/22/2006
33bProvider typeOtolaryngology Physician
28Total paid$11K
24GClaims353
24DCodes billed4
24AFirst – last monthMar 2018 – May 2024
Compared with peers

Next to other Otolaryngology Physician providers in Illinois

Rank by total paid#132 of 221
Median peer was paid$21K
This provider vs. median0.5×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201817$653.52
202031$743.69
202195$2K
202299$3K
202393$4K
2024incomplete18$917.91
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 63% 173 156 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 135 124 $2K
95806 12% 28 28 $1K
95811 5.7% 17 12 $653.52

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.