HITEN SHAH, M.D.
Pulmonary Disease Physician · MARION, OH
Individual Active NPI 1851343321
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 576 | 1,118 | $109,662 | $66,943 | $49,680 |
| 2023 | 579 | 1,250 | $128,405 | $77,666 | $56,339 |
| 2022 | 613 | 1,326 | $147,559 | $86,471 | $63,339 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 256 | $88 | $65 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 186 | $55 | $40 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 92 | $108 | $77 |
| 94729 | Test to examine how well the lungs exchange gases | 72 | $9 | $7 |
| 94726 | Test to determine lung volumes using sensors | 68 | $12 | $9 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 64 | $64 | $46 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 36 | $120 | $96 |
| 94618 | Test for exercise-induced lung stress | 33 | $22 | $16 |
| 94010 | Test to measure expiratory airflow and volume | 31 | $8 | $6 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 30 | $10 | $8 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 27 | $35 | $26 |
| 95810 | Sleep study in sleep lab (6 years or older) | 25 | $115 | $84 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 35087729 | OH |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35087729 | 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.