Madhok, Shailee
Madhok, Shailee was paid $282K by Medicaid between Jan 2018 and Dec 2020, across 8 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 31% of everything it billed.
33Billing provider infoMADHOK, SHAILEE
KINGSPORT, TN 37660
KINGSPORT, TN 37660
33aNPI1912965500assigned 05/03/2006
33bProvider typeSpecialist
28Total paid$282K
24GClaims7,035
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#72 of 252
Median peer was paid$57K
This provider vs. median5.0×
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 | 2,867 | $134K | |
| 2019 | 2,400 | $79K | |
| 2020 | 1,768 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 31% | 607 | 464 | $88K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 28% | 467 | 370 | $79K |
| 95117 | 14% | 4,038 | 2,299 | $40K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,064 | 987 | $34K |
| 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 | 9.5% | 618 | 528 | $27K |
| 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 | 4.8% | 210 | 141 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 18 | 17 | $840.81 |
| 94010 | <1% | 13 | 13 | $262.36 |
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.