NIHAR SHAH, MD
Gastroenterology Physician · BERKELEY, CA
Individual Active NPI 1285998609
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 312 | 516 | $449,794 | $83,068 | $64,013 |
| 2023 | 296 | 512 | $411,903 | $77,892 | $60,148 |
| 2022 | 299 | 479 | $390,354 | $74,033 | $55,233 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 111 | $198 | $140 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 104 | $153 | $113 |
| 91200 | Measurement of liver stiffness | 56 | $40 | $29 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 47 | $110 | $85 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 41 | $276 | $234 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 34 | $121 | $102 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 30 | $119 | $96 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 27 | $132 | $89 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12 | $126 | $101 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 989517 | CA |
| Hepatology Physician | 207RI0008X | A133210 | CA |
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.