Physician
Shining Light Family Health NP PC
Shining Light Family Health NP PC was paid $33K by Medicaid between Jul 2018 and Oct 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoSHINING LIGHT FAMILY HEALTH NP PC
BRONX, NY 10456
BRONX, NY 10456
33aNPI1497240683assigned 06/29/2018
33bProvider typeFamily Medicine Physician
28Total paid$33K
24GClaims47,234
24DCodes billed45
24AFirst – last monthJul 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#895 of 2,605
Median peer was paid$10K
This provider vs. median3.3×
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 | 38 | $0.00 | |
| 2019 | 978 | $9K | |
| 2020 | 4,643 | $12K | |
| 2021 | 8,944 | $2K | |
| 2022 | 11,349 | $4K | |
| 2023 | 14,390 | $5K | |
| 2024incomplete | 6,892 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 2,903 | 2,696 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 23% | 2,387 | 2,175 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14% | 714 | 704 | $5K |
| 99442 | 2.7% | 649 | 575 | $920.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 155 | 155 | $868.55 |
| 92551 | 1.9% | 493 | 493 | $645.37 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 44 | 44 | $600.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.7% | 1,904 | 1,752 | $581.20 |
| 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 | 1.4% | 591 | 590 | $480.53 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 26 | 26 | $466.98 |
| 93000 | 1.3% | 33 | 33 | $447.97 | |
| 3074F | <1% | 1,474 | 1,401 | $275.60 |
33 more codes
| 3078F | <1% | 1,139 | $154.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,247 | $50.75 |
| 3079F | <1% | 77 | $25.44 | |
| 90686 | <1% | 350 | $19.59 | |
| H0001 | Alcohol and/or drug assessment | <1% | 1,480 | $14.20 |
| 1159F | <1% | 3,363 | $8.50 | |
| 99441 | <1% | 533 | $5.00 | |
| 1126F | <1% | 1,003 | $4.25 | |
| 1160F | <1% | 352 | $4.25 | |
| 99173 | <1% | 348 | $3.46 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 1,114 | $0.00 |
| 2001F | 0% | 2,471 | $0.00 | |
| 2010F | 0% | 2,966 | $0.00 | |
| 1000F | 0% | 989 | $0.00 | |
| 3008F | 0% | 3,179 | $0.00 | |
| 81001 | 0% | 231 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 971 | $0.00 |
| 0001F | 0% | 2,811 | $0.00 | |
| 90656 | 0% | 51 | $0.00 | |
| 1036F | 0% | 900 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 27 | $0.00 |
| 90654 | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,450 | $0.00 |
| 3725F | 0% | 909 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 599 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 18 | $0.00 |
| 3016F | 0% | 709 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 84 | $0.00 |
| 0521F | 0% | 1,112 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 244 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 96 | $0.00 |
| 99408 | 0% | 12 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $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 officialVIRGIL, LIDIA (PRESIDENT/CEO)