Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Shah, Alap

Shah, Alap was paid $504K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoSHAH, ALAP
LA GRANGE, IL 60525
33aNPI1962664243assigned 06/27/2008
28Total paid$504K
24GClaims10,785
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#198 of 2,947
Median peer was paid$43K
This provider vs. median12×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018837$39K
20191,463$73K
20202,107$101K
20211,565$80K
20221,661$87K
20232,403$70K
2024incomplete749$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52% 5,523 4,773 $260K
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 33% 2,256 1,976 $167K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.3% 380 306 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.9% 192 171 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.1% 127 110 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.0% 130 94 $10K
90686 <1% 313 278 $3K
90688 <1% 152 117 $2K
0002A <1% 44 44 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 89 69 $1K
99223 Prolong inpt eval add15 m <1% 13 13 $1K
99493 <1% 14 14 $1K
18 more codes
0001A <1% 18 $775.40
90656 <1% 36 $752.62
90756 <1% 22 $574.43
90670 <1% 43 $523.67
96127 <1% 31 $459.90
99494 <1% 12 $441.63
90661 <1% 17 $350.03
90647 <1% 43 $294.34
90734 <1% 15 $105.00
90723 <1% 14 $90.89
90680 <1% 13 $84.49
81003 <1% 13 $27.65
1159F 0% 209 $0.00
3078F 0% 193 $0.00
1160F 0% 305 $0.00
3074F 0% 207 $0.00
1036F 0% 109 $0.00
3008F 0% 252 $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.