Physician
Sheppard, Valerie
Sheppard, Valerie was paid $894K by Medicaid between Jan 2018 and Jul 2023, across 42 billing codes. Its largest line is 96156, — 33% of everything it billed.
33Billing provider infoSHEPPARD, VALERIE
COSTA MESA, CA 92627
COSTA MESA, CA 92627
33aNPI1750524237assigned 04/13/2009
33bProvider typePediatrics Physician
28Total paid$894K
24GClaims26,384
24DCodes billed42
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#144 of 1,490
Median peer was paid$15K
This provider vs. median60×
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 | 3,175 | $51K | |
| 2019 | 3,865 | $93K | |
| 2020 | 4,903 | $180K | |
| 2021 | 7,336 | $275K | |
| 2022 | 6,433 | $263K | |
| 2023 | 672 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 33% | 3,337 | 3,176 | $297K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 23% | 3,449 | 3,432 | $204K |
| 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 | 15% | 4,373 | 4,037 | $137K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 1,432 | 1,430 | $69K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 1,189 | 1,181 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 405 | 405 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,230 | 1,143 | $22K |
| 92551 | 2.2% | 1,529 | 1,529 | $20K | |
| 99381 | 1.5% | 247 | 245 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 201 | 201 | $13K |
| 90670 | 1.0% | 964 | 961 | $9K | |
| 90698 | <1% | 572 | 569 | $5K |
30 more codes
| 96151 | <1% | 341 | $5K | |
| 90685 | <1% | 516 | $5K | |
| 90680 | <1% | 521 | $5K | |
| 90686 | <1% | 356 | $3K | |
| 90744 | <1% | 258 | $2K | |
| 97802 | <1% | 813 | $2K | |
| 90633 | <1% | 176 | $2K | |
| 99383 | <1% | 14 | $990.22 | |
| 90707 | <1% | 109 | $972.00 | |
| 99382 | <1% | 13 | $790.40 | |
| 90716 | <1% | 74 | $769.00 | |
| G9920 | Screening performed and negative | <1% | 488 | $696.00 |
| 90734 | <1% | 26 | $234.00 | |
| 85018 | <1% | 91 | $182.97 | |
| 96150 | <1% | 123 | $181.12 | |
| 90700 | <1% | 16 | $144.00 | |
| 87430 | <1% | 45 | $128.83 | |
| 90647 | <1% | 14 | $126.00 | |
| 94760 | <1% | 250 | $36.35 | |
| 99401 | <1% | 72 | $16.83 | |
| 96127 | <1% | 43 | $4.81 | |
| 99173 | <1% | 544 | $4.60 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 117 | $1.00 |
| 96160 | 0% | 474 | $0.00 | |
| 0071A | 0% | 18 | $0.00 | |
| 99050 | 0% | 1,649 | $0.00 | |
| 99172 | 0% | 247 | $0.00 | |
| 91307 | 0% | 21 | $0.00 | |
| 99000 | 0% | 13 | $0.00 | |
| 96161 | 0% | 14 | $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.