Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Garg, Shamila

Garg, Shamila was paid $203K by Medicaid between Jan 2021 and Dec 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoGARG, SHAMILA
MISHAWAKA, IN 46545
33aNPI1184663742assigned 06/06/2006
28Total paid$203K
24GClaims4,405
24DCodes billed5
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in Indiana

Rank by total paid#10 of 26
Median peer was paid$47K
This provider vs. median4.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2021882$40K
20221,402$66K
20231,278$55K
2024incomplete843$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 2,089 1,382 $111K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 31% 1,490 421 $62K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.1% 569 211 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 242 226 $11K
99254 <1% 15 13 $929.60

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.