Shah, Umesh

Shah, Umesh was paid $181K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 32% of everything it billed.

33Billing provider infoSHAH, UMESH
CHINO, CA 91710

33aNPI1851465504assigned 11/17/2006

33bProvider typeGastroenterology Physician

28Total paid$181K

24GClaims2,653

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#129 of 363

Median peer was paid$55K

This provider vs. median3.3×

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	580	$56K
2019	656	$58K
2020	393	$24K
2021	381	$15K
2022	239	$11K
2023	292	$13K
2024incomplete	112	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	32%	363	356	$58K
99223	Prolong inpt eval add15 m	30%	810	789	$55K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	16%	983	529	$29K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	13%	100	97	$24K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	2.4%	14	14	$4K
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	2.3%	115	112	$4K
99255		1.1%	27	26	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.0%	92	92	$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%	30	28	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	27	14	$991.16
99153	Mod sedat endo service >5yrs	<1%	92	80	$718.47

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.