Physician
Shalan, Gary
Shalan, Gary was paid $96K by Medicaid between Jan 2018 and Mar 2018, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoSHALAN, GARY
PITTSFIELD, MA 01201
PITTSFIELD, MA 01201
33aNPI1356390405assigned 05/08/2006
33bProvider typePediatrics Physician
28Total paid$96K
24GClaims1,042
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#411 of 1,273
Median peer was paid$24K
This provider vs. median4.0×
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 | 1,042 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 59% | 351 | 305 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 63 | 63 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 50 | 50 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 41 | 41 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 126 | 125 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 15 | 15 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 202 | 200 | $2K |
| 90461 | 1.6% | 49 | 49 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | 60 | $749.17 |
| 92587 | <1% | 12 | 12 | $230.50 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | 14 | $174.07 |
| 85018 | <1% | 31 | 31 | $80.46 |
1 more codes
| 90686 | 0% | 28 | $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.