NIRAJ SHAH, M.D.
Ophthalmology Physician · TOLEDO, OH
Individual Active NPI 1386968022
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,069 | 15,798 | $7,364,114 | $3,341,607 | $2,625,413 |
| 2023 | 917 | 10,057 | $3,710,201 | $1,814,969 | $1,412,225 |
| 2022 | 743 | 6,513 | $2,215,089 | $1,177,907 | $911,620 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 4,680 | $33 | $26 |
| J0178 | Injection, aflibercept, 1 mg | 2,872 | $817 | $647 |
| 92134 | Imaging of retina | 2,694 | $39 | $29 |
| 67028 | Injection of drug into eye | 1,511 | $121 | $97 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,049 | $125 | $90 |
| 92250 | Photography of the retina | 534 | $35 | $27 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 473 | $87 | $60 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 239 | $164 | $123 |
| J3590 | Unclassified biologics | 214 | $58 | $45 |
| 92012 | Established patient problem focused exam of visual system | 29 | $83 | $14 |
| 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 | 24 | $16 | $13 |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 20 | $1,034 | $794 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ✓ | 35123889 | OH |
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.