Physician
Shah, Gaurang
Shah, Gaurang was paid $81K by Medicaid between Jan 2018 and Oct 2019, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoSHAH, GAURANG
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1932169968assigned 03/24/2006
33bProvider typePediatrics Physician
28Total paid$81K
24GClaims2,171
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#112 of 471
Median peer was paid$18K
This provider vs. median4.6×
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 | 1,195 | $40K | |
| 2019 | 976 | $41K |
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 | 78% | 1,208 | 1,039 | $63K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 46 | 46 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 34 | 34 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.2% | 270 | 270 | $3K |
| 90461 | 2.6% | 101 | 101 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 12 | 12 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 12 | 12 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 119 | 118 | $853.20 |
| 96127 | <1% | 75 | 75 | $547.47 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 34 | 33 | $438.26 |
| 85018 | <1% | 15 | 15 | $30.75 | |
| 90633 | 0% | 12 | 12 | $0.00 |
2 more codes
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.