Physician
Lee, Shelley
Lee, Shelley was paid $190K by Medicaid between Jan 2018 and Dec 2022, across 30 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 24% of everything it billed.
33Billing provider infoLEE, SHELLEY
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
33aNPI1144325259assigned 09/13/2006
33bProvider typePediatrics Physician
28Total paid$190K
24GClaims10,421
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#372 of 1,490
Median peer was paid$15K
This provider vs. median13×
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 | 4,632 | $66K | |
| 2019 | 2,089 | $42K | |
| 2020 | 1,136 | $27K | |
| 2021 | 1,439 | $31K | |
| 2022 | 1,125 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 24% | 803 | 800 | $46K |
| 96156 | 17% | 437 | 431 | $32K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 687 | 672 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,702 | 1,356 | $27K |
| 92551 | 7.2% | 1,169 | 1,159 | $14K | |
| 96151 | 3.6% | 338 | 337 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 86 | 83 | $6K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 3.1% | 121 | 121 | $6K |
| G9920 | Screening performed and negative | 2.2% | 398 | 398 | $4K |
| 97802 | 2.1% | 622 | 621 | $4K | |
| 81000 | 1.6% | 1,159 | 1,149 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 226 | 185 | $3K |
18 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 42 | $3K |
| 99173 | <1% | 571 | $2K | |
| 85999 | <1% | 601 | $2K | |
| 90686 | <1% | 164 | $1K | |
| 85018 | <1% | 636 | $1K | |
| 90658 | <1% | 70 | $630.00 | |
| 86580 | <1% | 113 | $576.40 | |
| 90672 | <1% | 55 | $468.00 | |
| 90716 | <1% | 27 | $343.41 | |
| 90715 | <1% | 30 | $234.00 | |
| 90734 | <1% | 28 | $234.00 | |
| 90688 | <1% | 17 | $153.00 | |
| 96127 | <1% | 185 | $148.05 | |
| 90674 | <1% | 14 | $126.00 | |
| 90713 | <1% | 12 | $108.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 27 | $33.00 |
| 81001 | 0% | 54 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 27 | $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.