PRADIP SHAH, MD
Infectious Disease Physician · EDISON, NJ
Individual Active NPI 1437175155
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 731 | 5,325 | $1,521,700 | $614,339 | $492,748 |
| 2023 | 793 | 6,149 | $1,855,150 | $721,262 | $575,255 |
| 2022 | 717 | 4,705 | $1,053,730 | $426,287 | $337,678 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2,309 | $87 | $70 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,392 | $131 | $105 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 328 | $144 | $116 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 295 | $146 | $112 |
| 99291 | Critical care, first 30-74 minutes | 255 | $233 | $188 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 139 | $54 | $44 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 108 | $83 | $67 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 101 | $191 | $154 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 94 | $149 | $119 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 57 | $56 | $45 |
| 99496 | Transitional care management services for problem of high complexity | 39 | $313 | $252 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 22 | $189 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ✓ | MA57551 | NJ |
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.