npidexNPI registry + Medicare data

PRATIK SHAH, M.D.

Endocrinology, Diabetes & Metabolism Physician · FREDERICK, MD

Individual Active NPI 1871977793

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244481,422$273,611$135,942$99,510
2023389952$241,463$122,754$90,974
2022338730$169,369$92,502$65,916

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G2211Visit 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's421$16$13
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more413$126$89
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more295$179$133
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report170$34$27
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more46$217$157
76536Ultrasound scan of head and neck soft tissue36$107$83
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more13$167$113

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Endocrinology, Diabetes & Metabolism Physician207RE0101X✓D89673MD
Student in an Organized Health Care Education/Training Program390200000X——

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.