Physician
Esfandnia, Shaghayegh
Esfandnia, Shaghayegh was paid $24K by Medicaid between Oct 2022 and Oct 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoESFANDNIA, SHAGHAYEGH
ROSCOE, IL 61073
ROSCOE, IL 61073
33aNPI1912550237assigned 07/17/2019
33bProvider typeFamily Medicine Physician
28Total paid$24K
24GClaims468
24DCodes billed3
24AFirst – last monthOct 2022 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#1,763 of 2,947
Median peer was paid$43K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 53 | $2K | |
| 2023 | 222 | $10K | |
| 2024incomplete | 193 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 68% | 256 | 225 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 192 | 184 | $7K |
| 90686 | 1.7% | 20 | 15 | $403.28 |
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.