Physician
Rao, Sheela
Rao, Sheela was paid $264K by Medicaid between Jan 2018 and Nov 2019, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoRAO, SHEELA
AKRON, OH 44305
AKRON, OH 44305
33aNPI1134235534assigned 08/21/2006
33bProvider typePediatrics Physician
28Total paid$264K
24GClaims10,568
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#101 of 401
Median peer was paid$30K
This provider vs. median8.9×
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 | 5,982 | $149K | |
| 2019 | 4,586 | $115K |
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 | 33% | 1,487 | 1,263 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 960 | 883 | $39K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 2,219 | 1,211 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 334 | 276 | $27K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 339 | 330 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 344 | 330 | $18K |
| 99051 | 3.6% | 489 | 446 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 159 | 154 | $10K |
| 92552 | 3.4% | 796 | 767 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 609 | 537 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 150 | 141 | $4K |
| 81002 | <1% | 745 | 701 | $2K |
14 more codes
| 90686 | <1% | 429 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 72 | $802.22 |
| 90461 | <1% | 911 | $325.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 45 | $219.68 |
| 96161 | <1% | 57 | $184.48 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $133.62 |
| 90688 | <1% | 25 | $71.36 | |
| 90672 | <1% | 85 | $50.00 | |
| 90700 | <1% | 26 | $30.00 | |
| 99000 | 0% | 187 | $0.00 | |
| 90685 | 0% | 36 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| 90633 | 0% | 13 | $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.