NIRAJ SHAH, M.D
Gastroenterology Physician · MERIDIAN, MS
Individual Active NPI 1235495474
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 303 | 799 | $270,323 | $80,000 | $63,412 |
| 2023 | 214 | 439 | $176,083 | $48,414 | $37,520 |
| 2022 | 238 | 535 | $169,594 | $51,292 | $40,507 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 161 | $46 | $37 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 119 | $75 | $60 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 67 | $123 | $99 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 64 | $125 | $84 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 57 | $77 | $58 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 48 | $62 | $49 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | $115 | $92 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | $122 | $98 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 37 | $73 | $56 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 30 | $234 | $187 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 18 | $87 | $70 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 17 | $105 | $80 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 2022009594 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.