Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FUNCTIONAL HEALTHCARE PC

NPI: 1912337312 · MARLBORO, NJ 07746 · Neurological Surgery Physician · NPI assigned 11/21/2013

$3K
Total Medicaid Paid
1,188
Total Claims
1,012
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialSHAH, NILAY (OWNER)
NPI Enumeration Date11/21/2013

Related Entities

Other providers sharing the same authorized official: SHAH, NILAY

ProviderCityStateTotal Paid
MEDICAL DIAGNOSTIC SERVICES PC TARRYTOWN NY $279K
NILAY SHAH MD PC MAYWOOD NJ $254K
PRESTON SMILES PLLC DALLAS TX $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $2K
2019 547 $605.99
2020 291 $319.72
2021 245 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95831 60 60 $1K
99358 Prolong nursin fac eval 15m 636 628 $839.77
97750 358 190 $590.97
95851 14 14 $134.52
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 53 53 $1.80
96160 34 34 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 33 33 $0.00