Physician
Sheflin, Craig
Sheflin, Craig was paid $144K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 98928, — 74% of everything it billed.
33Billing provider infoSHEFLIN, CRAIG
VALLEY STREAM, NY 11581
VALLEY STREAM, NY 11581
33aNPI1588760235assigned 09/16/2006
33bProvider typeFamily Medicine Physician
28Total paid$144K
24GClaims5,336
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#486 of 2,605
Median peer was paid$10K
This provider vs. median14×
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 | 572 | $14K | |
| 2019 | 868 | $25K | |
| 2020 | 718 | $21K | |
| 2021 | 1,291 | $20K | |
| 2022 | 789 | $24K | |
| 2023 | 740 | $29K | |
| 2024incomplete | 358 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 98928 | 74% | 1,899 | 1,422 | $107K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,693 | 2,011 | $27K |
| 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 | 3.7% | 242 | 218 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 101 | 101 | $3K |
| 0031A | <1% | 24 | 22 | $631.87 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 21 | 18 | $580.07 |
| 0012A | <1% | 16 | 16 | $474.56 | |
| 0011A | <1% | 12 | 12 | $358.94 | |
| 3074F | <1% | 16 | 14 | $30.00 | |
| 1126F | <1% | 15 | 14 | $5.00 | |
| 1159F | <1% | 23 | 20 | $5.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 20 | 17 | $0.00 |
11 more codes
| 1000F | 0% | 23 | $0.00 | |
| 3008F | 0% | 23 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 23 | $0.00 |
| 91301 | 0% | 35 | $0.00 | |
| 2010F | 0% | 23 | $0.00 | |
| 91303 | 0% | 15 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 23 | $0.00 |
| 3016F | 0% | 23 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 20 | $0.00 |
| 4004F | 0% | 23 | $0.00 | |
| 3725F | 0% | 23 | $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.