Sharma and Sharma Medical PLLC

Sharma and Sharma Medical PLLC was paid $198K by Medicaid between Oct 2019 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoSHARMA AND SHARMA MEDICAL PLLC
MOUNT VERNON, NY 10550

33aNPI1316470222assigned 04/07/2017

33bProvider typeInternal Medicine Physician

28Total paid$198K

24GClaims8,137

24DCodes billed36

24AFirst – last monthOct 2019 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#865 of 6,049

Median peer was paid$11K

This provider vs. median18×

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
2019	12	$1K
2020	14	$1K
2021	939	$24K
2022	3,165	$81K
2023	1,948	$45K
2024incomplete	2,059	$46K

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	62%	1,240	1,098	$123K
99490	Ccm add 20min	20%	891	887	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.5%	226	210	$17K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.0%	215	183	$10K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.2%	31	30	$4K
99441		<1%	45	41	$2K
99442		<1%	15	14	$827.55
99497		<1%	13	13	$512.39
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	19	17	$379.95
99406		<1%	13	13	$178.56
G0444	Annual depression screening, 5 to 15 minutes	<1%	22	14	$167.00
99402		<1%	14	14	$165.03

24 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	$117.56
36415	Collection of venous blood by venipuncture	<1%	89	$107.88
97535	Self-care/home management training, each 15 minutes	<1%	12	$84.53
81002		<1%	28	$53.30
3079F		<1%	141	$27.50
1036F		0%	253	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	304	$0.00
1126F		0%	30	$0.00
3017F		0%	56	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	393	$0.00
1006F		0%	282	$0.00
3074F		0%	77	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	16	$0.00
1125F		0%	43	$0.00
1170F		0%	59	$0.00
99000		0%	14	$0.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	24	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	2,093	$0.00
G8482	Influenza immunization administered or previously received	0%	491	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	128	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	693	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	30	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	97	$0.00
3078F		0%	26	$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 officialSHARMA, SATYAVATHI (MD)