HEMEN SHAH, MD
Internal Medicine Physician · FREDERICK, MD
Individual Active NPI 1821002601
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,005 | 5,759 | $855,739 | $468,338 | $353,582 |
| 2023 | 1,115 | 7,144 | $836,589 | $512,454 | $381,537 |
| 2022 | 1,216 | 10,358 | $880,356 | $563,341 | $437,323 |
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 | 1,089 | $99 | $63 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 484 | $78 | $53 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 407 | $77 | $60 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 281 | $128 | $128 |
| G0136 | Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes | 239 | $19 | $15 |
| G0444 | Annual depression screening, 5 to 15 minutes | 196 | $19 | $19 |
| 99497 | Advance care planning, first 30 minutes | 179 | $74 | $59 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 173 | $74 | $53 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 169 | $125 | $92 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 151 | $76 | $56 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 149 | $179 | $143 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 134 | $106 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | D0060417 | MD |
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.