Roy, Sheila

Roy, Sheila was paid $155K by Medicaid between Feb 2018 and Jul 2021, across 13 billing codes. Its largest line is 0502F, — 77% of everything it billed.

33Billing provider infoROY, SHEILA
AURORA, IL 60504

33aNPI1568801512assigned 06/21/2013

33bProvider typeObstetrics & Gynecology Physician

28Total paid$155K

24GClaims4,931

24DCodes billed13

24AFirst – last monthFeb 2018 – Jul 2021

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#199 of 911

Median peer was paid$41K

This provider vs. median3.8×

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	565	$24K
2019	1,326	$41K
2020	1,983	$56K
2021	1,057	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		77%	2,724	1,581	$118K
96160		7.3%	924	694	$11K
99000		6.8%	802	583	$10K
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	3.4%	69	58	$5K
90686		2.1%	169	102	$3K
0500F		1.2%	45	37	$2K
99238	Hospital discharge day management, 30 minutes or less	<1%	31	27	$1K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	16	12	$659.36
0503F		<1%	13	12	$651.95
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%	12	12	$558.72
59025	Fetal non-stress test	<1%	41	31	$472.90
81025		<1%	73	59	$333.38

1 more codes

90471

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine

$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.