Physician
Sharma Family Medicine & Consulting PC
Sharma Family Medicine & Consulting PC was paid $63K by Medicaid between Jan 2018 and Sep 2024, across 12 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 45% of everything it billed.
33Billing provider infoSHARMA FAMILY MEDICINE & CONSULTING PC
OPELIKA, AL 36801
OPELIKA, AL 36801
33aNPI1376970673assigned 10/01/2013
33bProvider typeFamily Medicine Physician
28Total paid$63K
24GClaims12,249
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Family Medicine Physician providers in Alabama
Rank by total paid#219 of 455
Median peer was paid$57K
This provider vs. median1.1×
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 | 2,069 | $7K | |
| 2019 | 1,696 | $8K | |
| 2020 | 2,165 | $10K | |
| 2021 | 2,164 | $11K | |
| 2022 | 2,109 | $12K | |
| 2023 | 1,679 | $12K | |
| 2024incomplete | 367 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 45% | 5,175 | 4,997 | $28K |
| 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 | 31% | 1,404 | 1,368 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,684 | 2,354 | $15K |
| 99310 | Prolong nursin fac eval 15m | <1% | 57 | 54 | $126.12 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 259 | 228 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 45 | 42 | $0.00 |
| 1111F | 0% | 27 | 25 | $0.00 | |
| 3074F | 0% | 31 | 30 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,402 | 2,144 | $0.00 |
| 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) | 0% | 95 | 90 | $0.00 |
| 3078F | 0% | 34 | 33 | $0.00 | |
| 1159F | 0% | 36 | 34 | $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, SUNIL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| House Medical PLLC | Ronkonkoma, NY | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.