HIMANSHU SHAH, MD
Pulmonary Disease Physician · MILLBURN, NJ
Individual Active NPI 1578666764
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 641 | 1,877 | $517,496 | $220,320 | $167,112 |
| 2023 | 627 | 2,256 | $575,880 | $251,336 | $196,781 |
| 2022 | 648 | 2,481 | $574,833 | $244,557 | $191,842 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 624 | $139 | $103 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 188 | $197 | $146 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 183 | $123 | $98 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 102 | $150 | $115 |
| 94729 | Test to examine how well the lungs exchange gases | 94 | $9 | $7 |
| 94726 | Test to determine lung volumes using sensors | 92 | $12 | $10 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 88 | $11 | $8 |
| 94200 | Test to measure largest amount of air breathed in an out | 76 | $3 | $2 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 62 | $178 | $132 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 52 | $70 | $56 |
| 94729 | Test to examine how well the lungs exchange gases | 39 | $63 | $46 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 39 | $234 | $183 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 25MA05574700 | NJ |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 25MA05574700 | 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.