Gross, Sheldon

Gross, Sheldon was paid $100K by Medicaid between Oct 2020 and Sep 2021, across 3 billing codes. Its largest line is 95819, — 46% of everything it billed.

33Billing provider infoGROSS, SHELDON
SAN ANTONIO, TX 78229

33aNPI1922001395assigned 05/31/2005

33bProvider typeNeurology with Special Qualifications in Child Neurology Physician

28Total paid$100K

24GClaims960

24DCodes billed3

24AFirst – last monthOct 2020 – Sep 2021

Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Texas

Rank by total paid#10 of 20

Median peer was paid$62K

This provider vs. median1.6×

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
2020	198	$18K
2021	762	$82K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95819		46%	178	172	$46K
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%	585	563	$30K
99244	Office or other outpatient consultation, moderate to high complexity	24%	197	197	$24K

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.