Abdallah, Sheila

Abdallah, Sheila was paid $360K by Medicaid between Jul 2020 and Mar 2023, across 7 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 58% of everything it billed.

33Billing provider infoABDALLAH, SHEILA
WORCESTER, MA 01606

33aNPI1821356312assigned 05/02/2012

33bProvider typeFamily Medicine Physician

28Total paid$360K

24GClaims3,769

24DCodes billed7

24AFirst – last monthJul 2020 – Mar 2023

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#56 of 744

Median peer was paid$10K

This provider vs. median34×

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
2020	697	$52K
2021	1,155	$87K
2022	1,415	$162K
2023	502	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1040	Medicaid certified community behavioral health clinic services, per diem	58%	1,797	694	$209K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	24%	975	469	$85K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	8.0%	291	251	$29K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	6.5%	546	348	$24K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit	2.5%	72	55	$9K
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	1.1%	52	43	$4K
90887		<1%	36	29	$945.12

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.