Physician
Shifa Pediatric Clinic,pllc
Shifa Pediatric Clinic,pllc was paid $497K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSHIFA PEDIATRIC CLINIC,PLLC
APEX, NC 27502
APEX, NC 27502
33aNPI1326326133assigned 07/27/2011
33bProvider typePediatrics Physician
28Total paid$497K
24GClaims33,819
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#256 of 433
Median peer was paid$942K
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 | 762 | $32K | |
| 2019 | 1,194 | $45K | |
| 2020 | 1,590 | $53K | |
| 2021 | 4,702 | $82K | |
| 2022 | 8,473 | $103K | |
| 2023 | 8,137 | $91K | |
| 2024incomplete | 8,961 | $91K |
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 | 34% | 2,634 | 2,036 | $170K |
| 99199 | Unlisted special service, procedure or report | 28% | 24,018 | 14,316 | $138K |
| 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 | 23% | 1,221 | 1,018 | $113K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 1,084 | 862 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 406 | 339 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 111 | 98 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 148 | 141 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 65 | 54 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 426 | 359 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 173 | 154 | $2K |
| 92551 | <1% | 1,250 | 1,006 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 150 | 59 | $2K |
8 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 46 | $2K |
| 99173 | <1% | 1,225 | $807.03 | |
| 99051 | <1% | 27 | $714.96 | |
| 96127 | <1% | 129 | $640.23 | |
| 90686 | <1% | 452 | $465.83 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 41 | $111.40 |
| 99072 | 0% | 85 | $0.00 | |
| 99000 | 0% | 128 | $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 officialSULTANA, AYESHA (PHYSICIAN)