Physician
Amit H Sheth MD PC
Amit H Sheth MD PC was paid $1.47M by Medicaid between Jan 2020 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoAMIT H SHETH MD PC
CALIFORNIA, MD 20619
CALIFORNIA, MD 20619
33aNPI1043366446assigned 01/26/2007
33bProvider typePediatrics Physician
28Total paid$1.47M
24GClaims48,731
24DCodes billed38
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#74 of 306
Median peer was paid$206K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2020 | 13,073 | $221K | |
| 2021 | 7,852 | $251K | |
| 2022 | 8,813 | $308K | |
| 2023 | 9,608 | $340K | |
| 2024incomplete | 9,385 | $350K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 12,186 | 7,141 | $800K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 1,110 | 928 | $104K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 1,030 | 792 | $83K |
| 86328 | 5.1% | 1,897 | 1,562 | $74K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.9% | 5,170 | 2,156 | $57K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.8% | 629 | 426 | $55K |
| 92550 | 3.3% | 2,870 | 1,706 | $48K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 4,587 | 2,902 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 423 | 365 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 251 | 235 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 2,515 | 2,095 | $19K |
| 90698 | 1.1% | 910 | 704 | $17K |
26 more codes
| 90688 | 1.1% | 809 | $16K | |
| 90670 | <1% | 781 | $14K | |
| 92551 | <1% | 1,202 | $10K | |
| 87807 | <1% | 1,081 | $10K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 202 | $7K |
| 90677 | <1% | 138 | $7K | |
| 90687 | <1% | 281 | $6K | |
| 90680 | <1% | 343 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,087 | $5K |
| 81000 | <1% | 1,534 | $4K | |
| 90710 | <1% | 166 | $3K | |
| 99173 | <1% | 1,177 | $3K | |
| 90633 | <1% | 114 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 90744 | <1% | 83 | $2K | |
| 90734 | <1% | 64 | $1K | |
| 94010 | <1% | 186 | $1K | |
| 90651 | <1% | 61 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 105 | $1K |
| 96161 | <1% | 501 | $1K | |
| 90649 | <1% | 34 | $605.77 | |
| 90715 | <1% | 35 | $605.28 | |
| 90696 | <1% | 26 | $558.72 | |
| 90685 | <1% | 52 | $442.32 | |
| 99000 | <1% | 4,653 | $27.00 | |
| 36416 | <1% | 413 | $18.00 |
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.
From NPPES
Who's on the registration
Authorized officialSHETH, AMIT (PRESIDENT)