HEMANT SHAH, MD
Pulmonary Disease Physician · KETTERING, OH
Individual Active NPI 1033130885
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 679 | 1,713 | $291,145 | $178,163 | $134,684 |
| 2023 | 794 | 2,100 | $298,587 | $175,880 | $134,320 |
| 2022 | 843 | 2,317 | $350,203 | $217,696 | $168,053 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 312 | $125 | $89 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 163 | $117 | $92 |
| 99291 | Critical care, first 30-74 minutes | 152 | $213 | $169 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 147 | $79 | $63 |
| 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 | 137 | $17 | $13 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 91 | $172 | $134 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 72 | $87 | $56 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 67 | $179 | $128 |
| 94729 | Test to examine how well the lungs exchange gases | 59 | $9 | $7 |
| 94726 | Test to determine lung volumes using sensors | 54 | $12 | $9 |
| 94726 | Test to determine lung volumes using sensors | 45 | $54 | $39 |
| 94729 | Test to examine how well the lungs exchange gases | 45 | $54 | $39 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 35-65435 | OH |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35-065435 | OH | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 35-065435 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Ohio
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- NPI 1235357112
- NPI 1437481793
- NPI 1750339685
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.