Physician
Sheffield, Sharon
Sheffield, Sharon was paid $4K by Medicaid between Jan 2018 and Aug 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoSHEFFIELD, SHARON
FRANKLIN, VA 23851
FRANKLIN, VA 23851
33aNPI1326050949assigned 08/12/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4K
24GClaims252
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Virginia
Rank by total paid#145 of 243
Median peer was paid$8K
This provider vs. median0.5×
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 | 252 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 75% | 78 | 61 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 20 | 14 | $502.58 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.7% | 17 | 13 | $242.63 |
| 81025 | 4.2% | 27 | 26 | $176.80 | |
| 81002 | 2.8% | 46 | 42 | $118.38 | |
| 99000 | 0% | 64 | 61 | $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.