Physician
Shine Healthcare INC.
Shine Healthcare INC. was paid $946K by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is 96156, — 23% of everything it billed.
33Billing provider infoSHINE HEALTHCARE INC.
NORWALK, CA 90650
NORWALK, CA 90650
33aNPI1568760239assigned 03/04/2011
33bProvider typeFamily Medicine Physician
28Total paid$946K
24GClaims45,302
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#173 of 2,511
Median peer was paid$13K
This provider vs. median74×
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 | 5,300 | $45K | |
| 2019 | 8,073 | $89K | |
| 2020 | 7,710 | $213K | |
| 2021 | 7,639 | $262K | |
| 2022 | 6,541 | $217K | |
| 2023 | 5,081 | $98K | |
| 2024incomplete | 4,958 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 23% | 4,022 | 3,939 | $216K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 2,675 | 2,443 | $130K |
| 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 | 12% | 5,467 | 5,136 | $113K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 1,747 | 1,731 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 5,505 | 5,230 | $81K |
| G9920 | Screening performed and negative | 7.8% | 3,762 | 3,696 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.5% | 1,667 | 1,649 | $71K |
| 97803 | 6.9% | 3,719 | 3,674 | $65K | |
| 92551 | 3.2% | 3,207 | 3,151 | $30K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 510 | 504 | $22K |
| 92552 | 1.0% | 1,203 | 1,193 | $9K | |
| 90686 | <1% | 1,187 | 1,157 | $8K |
31 more codes
| 96151 | <1% | 535 | $7K | |
| 96127 | <1% | 2,252 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,312 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 576 | $4K |
| 90651 | <1% | 332 | $4K | |
| 97802 | <1% | 534 | $3K | |
| 99173 | <1% | 1,431 | $2K | |
| 90734 | <1% | 257 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 48 | $2K |
| 81003 | <1% | 891 | $2K | |
| 83026 | <1% | 779 | $1K | |
| 90700 | <1% | 98 | $882.00 | |
| 90670 | <1% | 70 | $567.00 | |
| 99497 | <1% | 71 | $565.02 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 222 | $476.35 |
| 90716 | <1% | 49 | $418.50 | |
| 99498 | <1% | 55 | $388.50 | |
| 90620 | <1% | 86 | $378.00 | |
| 90649 | <1% | 159 | $343.79 | |
| 90715 | <1% | 62 | $319.50 | |
| 90707 | <1% | 32 | $288.00 | |
| 99201 | <1% | 84 | $263.95 | |
| 90713 | <1% | 15 | $135.00 | |
| 90633 | <1% | 12 | $108.00 | |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 79 | $105.00 |
| 90656 | <1% | 25 | $61.98 | |
| 90662 | <1% | 141 | $54.00 | |
| 90619 | <1% | 55 | $27.00 | |
| 81002 | <1% | 45 | $23.22 | |
| 85018 | <1% | 17 | $2.05 | |
| 99408 | 0% | 307 | $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 officialSARODE, PRAFUL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Praful Sarode MD INC | Santa Ana, CA | $1.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.