Shanmugam, Vijay

Shanmugam, Vijay was paid $187K by Medicaid between Jan 2018 and Oct 2020, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoSHANMUGAM, VIJAY
LANCASTER, CA 93534

33aNPI1174576839assigned 05/17/2006

33bProvider typeNeurology Physician

28Total paid$187K

24GClaims2,076

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Neurology Physician providers in California

Rank by total paid#96 of 296

Median peer was paid$50K

This provider vs. median3.8×

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	931	$64K
2019	953	$104K
2020	192	$19K

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	57%	1,221	1,206	$106K
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	31%	532	532	$57K
95886		7.5%	68	68	$14K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.9%	53	42	$4K
99222	Initial hospital care, per day, moderate complexity	1.8%	57	56	$3K
95887		<1%	39	39	$2K
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%	12	12	$334.92
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	35	35	$0.00
G8421	Bmi not documented and no reason is given	0%	14	14	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	45	45	$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.