Shah, Gaurang

Shah, Gaurang was paid $284K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoSHAH, GAURANG
RICHMOND, KY 40475

33aNPI1922180694assigned 10/20/2006

33bProvider typeInternal Medicine Physician

28Total paid$284K

24GClaims14,026

24DCodes billed38

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Kentucky

Rank by total paid#75 of 231

Median peer was paid$77K

This provider vs. median3.7×

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	2,158	$44K
2019	1,835	$41K
2020	796	$9K
2021	2,617	$44K
2022	2,556	$46K
2023	2,323	$56K
2024incomplete	1,741	$45K

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	59%	7,416	5,891	$167K
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	13%	1,226	1,083	$36K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	9.1%	277	265	$26K
91320		4.1%	148	139	$12K
99497		1.9%	193	171	$5K
76775		1.8%	147	132	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.8%	280	266	$5K
90756		1.6%	384	361	$4K
99308	Subsequent nursing facility care, per day, straightforward	1.4%	612	561	$4K
90480		1.2%	126	123	$4K
99490	Ccm add 20min	1.2%	1,050	882	$3K
95922		<1%	84	74	$3K

26 more codes

90688		<1%	217	$2K
90661		<1%	78	$2K
0134A		<1%	50	$1K
0064A		<1%	83	$969.33
0054A		<1%	49	$918.00
0124A		<1%	50	$891.81
G0008	Administration of influenza virus vaccine	<1%	331	$722.50
93040		<1%	100	$647.81
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	40	$419.55
0011A		<1%	19	$282.00
0012A		<1%	16	$250.00
0004A		<1%	29	$218.66
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	30	$211.61
99307		<1%	15	$77.71
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	95	$40.82
3078F		<1%	342	$2.55
3074F		<1%	239	$1.83
91312		<1%	48	$0.04
91313		<1%	46	$0.03
91305		<1%	26	$0.01
3017F		0%	87	$0.00
91306		0%	22	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	25	$0.00
91301		0%	17	$0.00
888888		0%	16	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	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.