HARSHAL SHAH, D.O
Nephrology Physician · CLINTON, MD
Individual Active NPI 1780094219
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 514 | 1,856 | $524,167 | $220,378 | $167,397 |
| 2023 | 519 | 1,333 | $501,024 | $209,468 | $160,049 |
| 2022 | 569 | 1,351 | $556,343 | $237,491 | $182,753 |
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 | 346 | $62 | $46 |
| 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 | 338 | $17 | $13 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 320 | $126 | $100 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 184 | $379 | $303 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 167 | $109 | $69 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 153 | $81 | $48 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 64 | $182 | $143 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58 | $84 | $67 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 50 | $233 | $161 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 39 | $3 | $3 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 20 | $308 | $246 |
| 90966 | Home dialysis services per month (20 years or older) | 19 | $305 | $245 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | H0087253 | MD |
| Nephrology Physician | 207RN0300X | 0102205578 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Maryland
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- NPI 1619710761
- NPI 1508814443
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.