Physician
Flais, Shelly
Flais, Shelly was paid $638K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoFLAIS, SHELLY
NAPERVILLE, IL 60563
NAPERVILLE, IL 60563
33aNPI1386785368assigned 02/10/2007
33bProvider typePediatrics Physician
28Total paid$638K
24GClaims12,693
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#236 of 1,805
Median peer was paid$55K
This provider vs. median12×
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 | 811 | $38K | |
| 2019 | 1,053 | $57K | |
| 2020 | 1,399 | $66K | |
| 2021 | 1,850 | $86K | |
| 2022 | 2,667 | $133K | |
| 2023 | 2,206 | $113K | |
| 2024incomplete | 2,707 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 3,702 | 3,220 | $286K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,874 | 1,719 | $89K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 937 | 746 | $72K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.2% | 750 | 568 | $52K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.2% | 238 | 231 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 257 | 228 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 326 | 203 | $11K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.8% | 490 | 450 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 649 | 540 | $10K |
| 96160 | 1.1% | 478 | 385 | $7K | |
| 96127 | <1% | 298 | 259 | $5K | |
| 90698 | <1% | 395 | 298 | $5K |
24 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 57 | $5K |
| 90686 | <1% | 487 | $5K | |
| 90671 | <1% | 205 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 148 | $3K |
| 92551 | <1% | 203 | $3K | |
| 90670 | <1% | 216 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 52 | $2K |
| 90674 | <1% | 126 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 43 | $2K |
| 90680 | <1% | 123 | $2K | |
| 90661 | <1% | 47 | $785.37 | |
| 90744 | <1% | 43 | $580.09 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | $455.30 |
| 85018 | <1% | 194 | $450.08 | |
| 83655 | <1% | 36 | $426.96 | |
| 90647 | <1% | 31 | $377.04 | |
| 99174 | <1% | 49 | $365.05 | |
| 99173 | <1% | 43 | $317.41 | |
| 36416 | <1% | 73 | $299.30 | |
| 90700 | <1% | 25 | $295.52 | |
| 90713 | <1% | 20 | $232.72 | |
| 90707 | <1% | 18 | $201.44 | |
| 90716 | <1% | 17 | $188.88 | |
| 90651 | <1% | 14 | $89.60 |
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.