Physician
Shome, Sibaji
Shome, Sibaji was paid $14K by Medicaid between Apr 2019 and Jun 2020, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 73% of everything it billed.
33Billing provider infoSHOME, SIBAJI
CHATTANOOGA, TN 37403
CHATTANOOGA, TN 37403
33aNPI1922022672assigned 07/26/2006
33bProvider typePulmonary Disease Physician
28Total paid$14K
24GClaims257
24DCodes billed4
24AFirst – last monthApr 2019 – Jun 2020
Compared with peers
Next to other Pulmonary Disease Physician providers in Tennessee
Rank by total paid#38 of 62
Median peer was paid$26K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2019 | 56 | $4K | |
| 2020 | 201 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 73% | 198 | 83 | $10K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 23% | 13 | 13 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 30 | 13 | $353.18 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 16 | 12 | $119.14 |
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.