Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sapna Shah Family Medicine PC

Sapna Shah Family Medicine PC was paid $430K by Medicaid between Oct 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoSAPNA SHAH FAMILY MEDICINE PC
NEW HYDE PARK, NY 11040
33aNPI1386162089assigned 09/01/2017
28Total paid$430K
24GClaims13,463
24DCodes billed20
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#252 of 2,605
Median peer was paid$10K
This provider vs. median43×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201817$1K
2019813$31K
20201,378$48K
20212,284$71K
20222,791$101K
20233,468$108K
2024incomplete2,712$69K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 46% 1,965 1,825 $200K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 2,140 1,971 $159K
G0444 Annual depression screening, 5 to 15 minutes 4.7% 1,875 1,836 $20K
99401 2.9% 759 735 $12K
90674 2.3% 318 318 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.7% 81 81 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.3% 68 68 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.3% 432 428 $5K
3074F <1% 1,514 1,449 $3K
3078F <1% 1,492 1,429 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 24 24 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 92 90 $2K
8 more codes
96127 <1% 674 $815.58
90661 <1% 14 $444.75
3008F <1% 1,696 $0.01
4013F 0% 116 $0.00
3511F 0% 85 $0.00
2028F 0% 13 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 0% 37 $0.00
4010F 0% 68 $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 officialSHAH, SAPNA (OWNER)