Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $77.23 | 2 | 86.8% |
| Education | $11.71 | 1 | 13.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Novo Nordisk Inc | $52.89 | 1 | $0 (2017) |
| Medtronic MiniMed, Inc. | $24.34 | 1 | $0 (2017) |
| Lilly USA, LLC | $11.71 | 1 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2022 | $11.71 | 1 | Lilly USA, LLC ($11.71) |
| 2017 | $77.23 | 2 | Novo Nordisk Inc ($52.89) |
All Payment Transactions
3 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 06/09/2022 | Lilly USA, LLC | — | Education | In-kind items and services | $11.71 | General |
| 12/06/2017 | Novo Nordisk Inc | — | Food and Beverage | In-kind items and services | $52.89 | General |
| 03/06/2017 | Medtronic MiniMed, Inc. | Minimed 630G (Device) | Food and Beverage | In-kind items and services | $24.34 | General |
| Category: Durable Pump | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 774 | 7,688 | $425,507 | $202,018 |
| 2022 | 6 | 584 | 4,998 | $290,374 | $146,766 |
| 2021 | 7 | 545 | 3,998 | $229,491 | $127,838 |
| 2020 | 9 | 546 | 2,831 | $176,906 | $85,198 |
All Medicare Procedures & Services
28 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | Office | 2023 | 67 | 6,600 | $244,200 | $121,279 | 49.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 284 | 394 | $71,538 | $34,559 | 48.3% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 129 | 187 | $45,871 | $22,128 | 48.2% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2023 | 111 | 111 | $39,049 | $17,023 | 43.6% |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | Office | 2023 | 102 | 201 | $15,879 | $4,923 | 31.0% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2023 | 81 | 195 | $8,970 | $2,106 | 23.5% |
| J0897 | Injection, denosumab, 1 mg | Office | 2022 | 43 | 4,080 | $123,660 | $69,141 | 55.9% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 147 | 298 | $72,414 | $35,976 | 49.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 185 | 241 | $43,380 | $21,093 | 48.6% |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | Office | 2022 | 92 | 92 | $32,108 | $15,129 | 47.1% |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | Office | 2022 | 64 | 170 | $13,430 | $4,118 | 30.7% |
| 96372 | Injection of drug or substance under skin or into muscle | Office | 2022 | 53 | 117 | $5,382 | $1,309 | 24.3% |
| J0897 | Injection, denosumab, 1 mg | Office | 2021 | 34 | 3,180 | $76,320 | $51,773 | 67.8% |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | Office | 2021 | 157 | 293 | $71,199 | $39,266 | 55.1% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 183 | 246 | $44,280 | $21,480 | 48.5% |
| 99205 | New patient outpatient visit, total time 60-74 minutes | Office | 2021 | 64 | 64 | $22,336 | $10,700 | 47.9% |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | Office | 2021 | 53 | 122 | $9,638 | $3,238 | 33.6% |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | Office | 2021 | 43 | 82 | $3,772 | $915.94 | 24.3% |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | Office | 2021 | 11 | 11 | $1,946 | $464.45 | 23.9% |
| J0897 | Injection, denosumab, 1 mg | Office | 2020 | 25 | 2,160 | $51,840 | $33,366 | 64.4% |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | Office | 2020 | 117 | 169 | $41,067 | $16,500 | 40.2% |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | Office | 2020 | 84 | 84 | $29,316 | $12,853 | 43.8% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 140 | 178 | $32,040 | $12,548 | 39.2% |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | Office | 2020 | 83 | 93 | $10,602 | $5,281 | 49.8% |
| 95251 | Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours | Office | 2020 | 37 | 71 | $5,609 | $2,016 | 35.9% |
About Dr. Shailesh Baral, MD
Dr. Shailesh Baral, MD is a Hospitalist healthcare provider based in York, Pennsylvania. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/30/2008. The National Provider Identifier (NPI) number assigned to this provider is 1568628485.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Shailesh Baral, MD has received a total of $88.94 in payments from pharmaceutical and medical device companies, with $11.71 received in 2022. These payments were reported across 3 transactions from 3 companies. The most common payment nature is "Food and Beverage" ($77.23).
As a Medicare-enrolled provider, Baral has provided services to 2,449 Medicare beneficiaries, totaling 19,515 services with total Medicare billing of $561,819. Data is available for 4 years (2020–2023), covering 28 distinct procedure/service records.
Practice Information
- Specialty Hospitalist
- Other Specialties Diabetes & Metabolism
- Location York, PA
- Active Since 07/30/2008
- Last Updated 06/18/2021
- Taxonomy Code 208M00000X
- Entity Type Individual
- NPI Number 1568628485
Products in Payments
- Minimed 630G (Device) $24.34
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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