Seth, Shefali

Seth, Shefali was paid $30K by Medicaid between Dec 2018 and Jul 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoSETH, SHEFALI
LOMBARD, IL 60148

33aNPI1265942023assigned 10/06/2017

33bProvider typeFamily Nurse Practitioner

28Total paid$30K

24GClaims1,635

24DCodes billed10

24AFirst – last monthDec 2018 – Jul 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#1,559 of 3,353

Median peer was paid$25K

This provider vs. median1.2×

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	35	$1K
2019	436	$17K
2020	461	$8K
2021	226	$2K
2022	194	$678.93
2023	194	$991.70
2024incomplete	89	$862.09

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	46%	256	214	$14K
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	33%	161	141	$10K
99308	Subsequent nursing facility care, per day, straightforward	12%	806	422	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	5.0%	60	49	$2K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.5%	108	81	$459.57
99305		1.5%	59	56	$446.30
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	13	$219.80
S9088	Services provided in an urgent care center (list in addition to code for service)	<1%	138	120	$8.00
99051		0%	17	12	$0.00
99306	Prolong nursin fac eval 15m	0%	16	16	$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.