Shalem Healing, INC.
Shalem Healing, INC. was paid $130K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoSHALEM HEALING, INC.
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
33aNPI1073801395assigned 07/20/2011
33bProvider typeOccupational Therapist
28Total paid$130K
24GClaims3,821
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Occupational Therapist providers in Wisconsin
Rank by total paid#16 of 43
Median peer was paid$26K
This provider vs. median5.0×
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 | 237 | $9K | |
| 2019 | 286 | $11K | |
| 2020 | 584 | $15K | |
| 2021 | 759 | $23K | |
| 2022 | 663 | $18K | |
| 2023 | 757 | $20K | |
| 2024incomplete | 535 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 1,327 | 1,000 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 1,467 | 1,121 | $44K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 249 | 160 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 201 | 148 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 93 | 68 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 242 | 174 | $2K |
| 87634 | 1.1% | 27 | 22 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | 15 | $714.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 14 | 14 | $304.98 |
| 36415 | Collection of venous blood by venipuncture | 0% | 186 | 154 | $0.00 |
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 officialGELFMAN, JONATHAN (CLINIC DIRECTOR)