Sha, Kenneth

Sha, Kenneth was paid $2.56M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoSHA, KENNETH
FLUSHING, NY 11354

33aNPI1821097932assigned 07/20/2005

33bProvider typePulmonary Disease Physician

28Total paid$2.56M

24GClaims60,625

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New York

Rank by total paid#7 of 413

Median peer was paid$8K

This provider vs. median326×

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	5,752	$254K
2019	7,620	$335K
2020	6,149	$275K
2021	8,854	$399K
2022	10,110	$430K
2023	11,138	$440K
2024incomplete	11,002	$427K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	53%	27,734	26,723	$1.36M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	3,938	3,911	$302K
94060		12%	11,884	11,741	$300K
94729		6.6%	6,336	6,260	$169K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.0%	1,575	1,552	$153K
94727		5.3%	6,332	6,264	$136K
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	2.4%	1,005	983	$62K
95810	Polysomnography; sleep staging with 4 or more additional parameters	1.2%	120	118	$32K
95806		1.1%	469	466	$28K
95811		<1%	41	40	$14K
99406		<1%	364	361	$5K
94200		<1%	302	296	$2K

14 more codes

90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	125	$1K
0031A		<1%	21	$746.57
90674		<1%	13	$259.10
94618		<1%	16	$217.19
90756		<1%	14	$139.75
94664		<1%	13	$64.65
36410		<1%	13	$61.22
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	14	$9.00
1036F		0%	86	$0.00
G9275	Documentation that patient is a current non-tobacco user	0%	86	$0.00
G0008	Administration of influenza virus vaccine	0%	15	$0.00
1000F		0%	82	$0.00
3725F		0%	14	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	13	$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.