Physician
Carolan, Shelley
Carolan, Shelley was paid $1.30M by Medicaid between Jan 2018 and Apr 2023, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoCAROLAN, SHELLEY
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1831151729assigned 04/05/2006
33bProvider typePediatrics Physician
28Total paid$1.30M
24GClaims17,302
24DCodes billed42
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#98 of 549
Median peer was paid$154K
This provider vs. median8.4×
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 | 702 | $44K | |
| 2019 | 2,252 | $143K | |
| 2020 | 3,645 | $231K | |
| 2021 | 5,062 | $421K | |
| 2022 | 5,249 | $423K | |
| 2023 | 392 | $33K |
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 | 31% | 3,948 | 3,664 | $404K |
| 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 | 30% | 2,815 | 2,595 | $391K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 12% | 1,109 | 1,088 | $156K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 558 | 558 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 493 | 493 | $63K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 369 | 369 | $51K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 2,236 | 2,219 | $44K |
| 99441 | 1.7% | 353 | 339 | $22K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 179 | 178 | $22K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 323 | 319 | $11K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 122 | 121 | $9K |
| 80050 | General health panel | <1% | 144 | 144 | $6K |
30 more codes
| 87631 | <1% | 39 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 345 | $5K |
| 96127 | <1% | 760 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 151 | $5K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 121 | $4K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 121 | $4K |
| 80061 | Lipid panel | <1% | 313 | $4K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 122 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | $3K |
| 87070 | <1% | 234 | $2K | |
| 87634 | <1% | 13 | $912.60 | |
| 92551 | <1% | 341 | $912.37 | |
| 90686 | <1% | 949 | $825.10 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 59 | $572.89 |
| 80053 | Comprehensive metabolic panel | <1% | 49 | $517.44 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 54 | $419.58 |
| 36415 | Collection of venous blood by venipuncture | <1% | 193 | $171.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $137.50 |
| 85018 | <1% | 38 | $90.06 | |
| 96160 | <1% | 303 | $30.72 | |
| 99173 | <1% | 74 | $11.43 | |
| 90670 | 0% | 88 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| 90633 | 0% | 25 | $0.00 | |
| 90707 | 0% | 16 | $0.00 | |
| 36416 | 0% | 41 | $0.00 | |
| 90651 | 0% | 16 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90698 | 0% | 48 | $0.00 | |
| 90680 | 0% | 46 | $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.