Physician
Dharia, Shimoni
Dharia, Shimoni was paid $640K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoDHARIA, SHIMONI
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1174789770assigned 08/03/2008
33bProvider typePediatric Pulmonology Physician
28Total paid$640K
24GClaims11,717
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Pulmonology Physician providers in Illinois
Rank by total paid#1 of 26
Median peer was paid$143K
This provider vs. median4.5×
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 | 1,201 | $49K | |
| 2019 | 1,730 | $81K | |
| 2020 | 1,337 | $73K | |
| 2021 | 1,740 | $95K | |
| 2022 | 1,887 | $113K | |
| 2023 | 1,920 | $107K | |
| 2024incomplete | 1,902 | $123K |
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 | 39% | 4,498 | 3,968 | $249K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 17% | 1,999 | 737 | $108K |
| 94010 | 15% | 2,953 | 2,717 | $96K | |
| 99245 | 11% | 477 | 433 | $70K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.3% | 915 | 868 | $53K |
| 99255 | 7.6% | 586 | 541 | $49K | |
| 99223 | Prolong inpt eval add15 m | 1.1% | 61 | 56 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 112 | 105 | $5K |
| 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% | 42 | 38 | $1K |
| 90686 | <1% | 74 | 74 | $830.46 |
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.