Setya, Shilpy

Setya, Shilpy was paid $18K by Medicaid between May 2018 and Feb 2019, across 2 billing codes. Its largest line is 99283, emergency room visit (moderate) — 93% of everything it billed.

33Billing provider infoSETYA, SHILPY
LIVINGSTON, NJ 07039

33aNPI1013109925assigned 08/14/2007

33bProvider typePediatrics Physician

28Total paid$18K

24GClaims195

24DCodes billed2

24AFirst – last monthMay 2018 – Feb 2019

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#401 of 549

Median peer was paid$154K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	152	$14K
2019	43	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	93%	181	181	$17K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	7.2%	14	14	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.