NILAMBEN SHAH, MD
Internal Medicine Physician · SAINT PETERSBURG, FL
Individual Active NPI 1356306070
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 598 | 5,610 | $1,010,086 | $479,663 | $375,170 |
| 2023 | 557 | 5,330 | $1,021,779 | $468,439 | $364,527 |
| 2022 | 571 | 5,500 | $1,142,171 | $513,717 | $392,198 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,280 | $63 | $48 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,216 | $128 | $94 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 643 | $128 | $99 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 287 | $131 | $131 |
| 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 | 247 | $17 | $12 |
| 36415 | Insertion of needle into vein for collection of blood sample | 212 | $9 | $9 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 159 | $105 | $85 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 147 | $23 | $14 |
| 96372 | Injection of drug or substance under skin or into muscle | 130 | $14 | $11 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 119 | $53 | $42 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 104 | $1 | $1 |
| 90658 | Influenza vaccine, trivalent, 0.5 ml dosage | 95 | $21 | $21 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | ME88506 | FL |
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.