Treatment Tracker

The Doctors and Services in Medicare Part B

Treatment Tracker » New Jersey » West caldwell

PRADIP SHAH M.D.

459 PASSAIC AVE CRANE'S MILL - OAK HEALTH CENTER, WEST CALDWELL, NJ, 07006 | (973) 276-3026

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $433 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
753
Rank: 13th
out of 98 providers in this state & specialty
Services
Performed
6,332
Rank: 8th
out of 98 providers in this state & specialty
Avg Services
Per Patient
8.4 This Provider
Avg 7.3
Total Paid
by Medicare
$385K
Rank: 10th
out of 98 providers in this state & specialty
Avg Paid
Per Patient
$511 This Provider
Avg $433

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 37 different services in 2015
(14 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
1,512
times performed,
24% of his services

1st 4th

most performed service for this provider most performed service in this state & specialty

332
patients got this service, 44% of his patients
4.6
average number of visits a patient made for this service
(Peers: 5.2)
$128,520.00an average of $85.00 per time performed $87,862.32
an average of $58.11 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient assisted living visit, typically 25 m... +

Established patient assisted living visit, typically 25 minutes ×

Service Code: 99335
Performed in an office
972
times performed,
15% of his services

2nd 11th

most performed service for this provider most performed service in this state & specialty

227
patients got this service, 30% of his patients
4.3
average number of visits a patient made for this service
(Peers: 4.3)
$108,864.00an average of $112.00 per time performed $76,185.36
an average of $78.38 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
960
times performed,
15% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NJ perform this service

11
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
$15,360.00an average of $16.00 per time performed $11,280.00
an average of $11.75 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
585
times performed,
9% of his services

4th 1st

most performed service for this provider most performed service in this state & specialty

163
patients got this service, 22% of his patients
3.6
average number of visits a patient made for this service
(Peers: 2.6)
$73,125.00an average of $125.00 per time performed $52,421.85
an average of $89.61 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
475
times performed,
8% of his services

5th 3rd

most performed service for this provider most performed service in this state & specialty

84
patients got this service, 11% of his patients
5.7
average number of visits a patient made for this service
(Peers: 3.2)
$39,539.00an average of $83.24 per time performed $29,416.75
an average of $61.93 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
409
times performed,
6% of his services

6th 5th

most performed service for this provider most performed service in this state & specialty

124
patients got this service, 16% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.3)
$34,765.00an average of $85.00 per time performed $24,658.61
an average of $60.29 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in a facility
228
times performed,
4% of his services

7th 31st

most performed service for this provider most performed service in this state & specialty

200
patients got this service, 27% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$35,340.00an average of $155.00 per time performed $25,561.08
an average of $112.11 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
226
times performed,
4% of his services

8th 34th

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 6% of his patients
5.1
average number of visits a patient made for this service
(Peers: 2.1)
$12,430.00an average of $55.00 per time performed $8,606.08
an average of $38.08 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
166
times performed,
3% of his services

9th 29th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 3% of his patients
7.9
average number of visits a patient made for this service
(Peers: 6.2)
$1,660.00an average of $10.00 per time performed $869.84
an average of $5.24 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
148
times performed,
2% of his services

10th 7th

most performed service for this provider most performed service in this state & specialty

98
patients got this service, 13% of his patients
1.5
average number of visits a patient made for this service
(Peers: 4)
$17,760.00an average of $120.00 per time performed $11,653.52
an average of $78.74 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
98
times performed,
2% of his services

11th 17th

most performed service for this provider most performed service in this state & specialty

72
patients got this service, 10% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$11,760.00an average of $120.00 per time performed $9,026.78
an average of $92.11 per time performed
medical
PROCEDURES

Physician review, interpretation, and patient management ... +

Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent ×

Service Code: G0250
Performed in an office
89
times performed,
1% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NJ perform this service

20
patients got this service, 3% of his patients
4.5
average number of visits a patient made for this service
$1,335.00an average of $15.00 per time performed $703.99
an average of $7.91 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
86
times performed,
1% of his services

13th 23rd

most performed service for this provider most performed service in this state & specialty

69
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$13,760.00an average of $160.00 per time performed $9,557.18
an average of $111.13 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient assisted living visit, typically 40 m... +

Established patient assisted living visit, typically 40 minutes ×

Service Code: 99336
Performed in an office
75
times performed,
1% of his services

14th 16th

most performed service for this provider most performed service in this state & specialty

56
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 3.5)
$11,709.75an average of $156.13 per time performed $8,237.25
an average of $109.83 per time performed
medical
EVALUATION AND MANAGEMENT

New patient assisted living visit, typically 60 minutes

Service Code: 99327
Performed in an office
48
times performed,
0.76% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NJ perform this service

48
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$11,520.00an average of $240.00 per time performed $7,522.56
an average of $156.72 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
37
times performed,
0.58% of his services

16th 49th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,405.00an average of $65.00 per time performed $1,586.19
an average of $42.87 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
34
times performed,
0.54% of his services

17th 28th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,400.00an average of $100.00 per time performed $972.40
an average of $28.60 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
34
times performed,
0.54% of his services

18th 33rd

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,800.00an average of $200.00 per time performed $5,618.84
an average of $165.26 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
19
times performed,
0.3% of his services

19th 18th

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,800.00an average of $200.00 per time performed $2,713.96
an average of $142.84 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
19
times performed,
0.3% of his services

20th 19th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$570.00an average of $30.00 per time performed $273.98
an average of $14.42 per time performed
medical
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
16
times performed,
0.25% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NJ perform this service

11
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
$1,600.00an average of $100.00 per time performed $1,101.28
an average of $68.83 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
12
times performed,
0.19% of his services

22nd 27th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,220.00an average of $185.00 per time performed $1,611.00
an average of $134.25 per time performed
medical
EVALUATION AND MANAGEMENT

New patient assisted living visit, typically 45 minutes

Service Code: 99326
Performed in an office
11
times performed,
0.17% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NJ perform this service

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,890.02an average of $171.82 per time performed $1,187.67
an average of $107.97 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Pradip S Shah
Average for Geriatric Medicine Providers in New Jersey

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.