Shirali, Janhavi

Shirali, Janhavi was paid $1.16M by Medicaid between May 2018 and Oct 2020, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.

33Billing provider infoSHIRALI, JANHAVI
FRESH MEADOWS, NY 11366

33aNPI1760746697assigned 06/26/2012

33bProvider typePediatric Ophthalmology and Strabismus Specialist Physician Physician

28Total paid$1.16M

24GClaims12,500

24DCodes billed12

24AFirst – last monthMay 2018 – Oct 2020

Compared with peers

Next to other Pediatric Ophthalmology and Strabismus Specialist Physician Physician providers in New York

Rank by total paid#9 of 24

Median peer was paid$212K

This provider vs. median5.5×

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	2,319	$173K
2019	5,608	$551K
2020	4,573	$435K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	33%	2,066	2,065	$382K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	31%	2,264	2,263	$357K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	15%	1,582	1,561	$170K
92015	Determination of refractive state	8.7%	4,507	4,504	$101K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.8%	411	411	$55K
92060		3.8%	578	572	$44K
92225		2.4%	436	431	$28K
92285		<1%	405	399	$10K
92250		<1%	137	137	$8K
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%	12	12	$2K
76514		<1%	62	62	$1K
G2010	Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment	<1%	40	40	$529.82

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.