Vijay Shanmugam M D INC

Vijay Shanmugam M D INC was paid $234K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoVIJAY SHANMUGAM M D INC
LANCASTER, CA 93534

33aNPI1255715397assigned 07/18/2015

33bProvider typeNeurology Physician

28Total paid$234K

24GClaims3,248

24DCodes billed10

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in California

Rank by total paid#85 of 296

Median peer was paid$50K

This provider vs. median4.7×

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	65	$1K
2019	44	$1K
2020	261	$20K
2021	293	$26K
2022	625	$59K
2023	961	$70K
2024incomplete	999	$58K

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	55%	1,695	1,682	$130K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	16%	815	418	$37K
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	15%	354	354	$34K
99223	Prolong inpt eval add15 m	8.3%	175	173	$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	4.2%	133	132	$10K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	13	13	$2K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	16	12	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$450.00
99442		<1%	23	23	$13.87
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	12	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.

From NPPES

Who's on the registration

Authorized officialVIJAY, MALAVIKA (OFFICE MANAGER)