Physician
Heshmati, Shahla
Heshmati, Shahla was paid $324K by Medicaid between Jan 2018 and Feb 2023, across 24 billing codes. Its largest line is 96156, — 32% of everything it billed.
33Billing provider infoHESHMATI, SHAHLA
IRVINE, CA 92618
IRVINE, CA 92618
33aNPI1831203744assigned 08/18/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$324K
24GClaims10,619
24DCodes billed24
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in California
Rank by total paid#15 of 66
Median peer was paid$61K
This provider vs. median5.3×
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 | 1,819 | $35K | |
| 2019 | 1,669 | $43K | |
| 2020 | 2,225 | $74K | |
| 2021 | 2,168 | $78K | |
| 2022 | 2,434 | $83K | |
| 2023 | 304 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 32% | 1,293 | 1,275 | $104K | |
| 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 | 17% | 1,474 | 1,394 | $54K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.1% | 412 | 410 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 1,226 | 1,154 | $29K |
| G9920 | Screening performed and negative | 8.8% | 1,130 | 1,114 | $29K |
| 92551 | 7.3% | 1,818 | 1,803 | $24K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 316 | 315 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 186 | 185 | $10K |
| 96151 | 2.0% | 294 | 292 | $7K | |
| 90686 | 1.8% | 651 | 649 | $6K | |
| 96158 | 1.7% | 107 | 104 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 393 | 385 | $5K |
12 more codes
| 96127 | <1% | 596 | $2K | |
| 99173 | <1% | 172 | $603.78 | |
| 90651 | <1% | 41 | $369.00 | |
| 90688 | <1% | 40 | $360.00 | |
| 96150 | <1% | 13 | $302.38 | |
| 90734 | <1% | 27 | $261.00 | |
| 90658 | <1% | 28 | $252.00 | |
| 90649 | <1% | 12 | $108.00 | |
| 90621 | <1% | 12 | $108.00 | |
| 86580 | <1% | 183 | $7.91 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 13 | $0.00 |
| 81001 | 0% | 182 | $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.