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
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
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 | 17 | $653.52 | |
| 2020 | 31 | $743.69 | |
| 2021 | 95 | $2K | |
| 2022 | 99 | $3K | |
| 2023 | 93 | $4K | |
| 2024incomplete | 18 | $917.91 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.