Physician
Hamilton, Shawn
Hamilton, Shawn was paid $1.57M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 70% of everything it billed.
33Billing provider infoHAMILTON, SHAWN
IRVINE, CA 92604
IRVINE, CA 92604
33aNPI1134270069assigned 01/16/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.57M
24GClaims31,191
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#98 of 2,679
Median peer was paid$13K
This provider vs. median125×
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 | 2,002 | $98K | |
| 2019 | 4,365 | $191K | |
| 2020 | 5,783 | $271K | |
| 2021 | 6,241 | $293K | |
| 2022 | 4,986 | $231K | |
| 2023 | 4,398 | $253K | |
| 2024incomplete | 3,416 | $236K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 70% | 18,107 | 14,420 | $1.09M |
| 99205 | Prolong outpt/office vis | 8.2% | 1,887 | 1,872 | $128K |
| 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 | 7.5% | 1,920 | 1,661 | $118K |
| 99385 | 4.4% | 872 | 802 | $69K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2.6% | 2,333 | 2,281 | $41K |
| 99406 | 1.5% | 2,420 | 2,375 | $23K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 270 | 267 | $22K |
| 96156 | 1.2% | 1,425 | 1,348 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 216 | 216 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 302 | 289 | $14K |
| 96150 | <1% | 701 | 699 | $10K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 169 | 160 | $5K |
16 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 32 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | $3K |
| G9920 | Screening performed and negative | <1% | 47 | $1K |
| H0049 | Alcohol and/or drug screening | <1% | 94 | $924.00 |
| 98960 | <1% | 19 | $479.88 | |
| 96151 | <1% | 16 | $174.40 | |
| 88142 | 0% | 12 | $0.00 | |
| 3074F | 0% | 12 | $0.00 | |
| 3080F | 0% | 20 | $0.00 | |
| 99449 | 0% | 26 | $0.00 | |
| 96160 | 0% | 35 | $0.00 | |
| P3001 | Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician | 0% | 14 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | $0.00 |
| 3078F | 0% | 27 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 28 | $0.00 |
| 3077F | 0% | 12 | $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.