Shalini Yalamanchi, MD PC

Shalini Yalamanchi, MD PC was paid $8.26M by Medicaid between Mar 2021 and Oct 2024, across 9 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 78% of everything it billed.

33Billing provider infoSHALINI YALAMANCHI, MD PC
SANTA ROSA, CA 95403

33aNPI1457948564assigned 12/22/2020

33bProvider typeRetina Specialist (Ophthalmology) Physician

28Total paid$8.26M

24GClaims15,340

24DCodes billed9

24AFirst – last monthMar 2021 – Oct 2024

Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in California

Rank by total paid#2 of 45

Median peer was paid$55K

This provider vs. median150×

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
2021	2,776	$1.52M
2022	3,905	$2.22M
2023	4,618	$2.42M
2024incomplete	4,041	$2.10M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0178	Injection, aflibercept, 1 mg	78%	4,814	3,705	$6.42M
67028	Intravitreal injection of a pharmacologic agent	20%	5,465	3,800	$1.67M
92134		1.6%	4,414	4,267	$132K
92235		<1%	153	150	$14K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	210	205	$10K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	141	135	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	91	90	$3K
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	<1%	37	36	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	15	15	$1K

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 officialYALAMANCHI, SHALINI (MD/OWNER)