Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHELDON MEDICAL CARE,PC

NPI: 1013900463 · BRONX, NY 10468 · Internal Medicine Physician · NPI assigned 08/31/2005

$1.25M
Total Medicaid Paid
89,269
Total Claims
78,525
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHAH, TUSHAR (PRESIDENT)
NPI Enumeration Date08/31/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,996 $694K
2019 19,626 $414K
2020 17,406 $77K
2021 10,397 $38K
2022 3,711 $8K
2023 10,751 $9K
2024 9,382 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,791 37,696 $785K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 863 862 $139K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,116 4,094 $84K
93880 427 426 $62K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,431 2,423 $52K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 414 413 $37K
83013 408 402 $31K
93000 1,704 1,692 $24K
99385 326 326 $4K
93975 30 30 $4K
93925 14 14 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 105 97 $3K
95923 34 34 $3K
93015 53 53 $3K
36415 Collection of venous blood by venipuncture 5,520 5,443 $2K
95943 31 31 $2K
81003 1,615 1,595 $2K
86580 329 309 $2K
93351 12 12 $1K
99386 86 86 $1K
83014 407 401 $955.00
99406 255 255 $852.57
87490 142 139 $281.05
3079F 108 105 $217.50
3074F 61 60 $140.00
3078F 53 53 $117.50
3075F 53 52 $112.50
3051F 16 15 $20.00
1036F 1,145 1,135 $0.00
1000F 1,434 1,419 $0.00
G9275 Documentation that patient is a current non-tobacco user 3,656 3,630 $0.00
1101F 176 174 $0.00
H0001 Alcohol and/or drug assessment 2,783 2,764 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 6,307 5,996 $0.00
4000F 53 53 $0.00
1100F 179 177 $0.00
3725F 1,742 1,710 $0.00
3288F 180 178 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,645 2,627 $0.00
1159F 132 128 $0.00
3016F 1,239 1,229 $0.00
99408 69 66 $0.00
1160F 82 80 $0.00
G9276 Documentation that patient is a current tobacco user 13 13 $0.00
3015F 15 14 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 15 14 $0.00