Physician
Shelton Pediatrics
Shelton Pediatrics was paid $2.68M by Medicaid between Jul 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSHELTON PEDIATRICS
SHELTON, CT 06484
SHELTON, CT 06484
33aNPI1922597830assigned 05/07/2018
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.68M
24GClaims67,679
24DCodes billed47
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Connecticut
Rank by total paid#4 of 16
Median peer was paid$839K
This provider vs. median3.2×
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 | 3,457 | $127K | |
| 2019 | 8,148 | $342K | |
| 2020 | 7,216 | $283K | |
| 2021 | 10,213 | $412K | |
| 2022 | 12,997 | $522K | |
| 2023 | 13,438 | $531K | |
| 2024incomplete | 12,210 | $468K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 15,515 | 12,859 | $1.06M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,682 | 2,637 | $307K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 6,249 | 5,888 | $239K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 2,059 | 2,013 | $221K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 2,184 | 2,064 | $214K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 1,251 | 1,205 | $141K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.2% | 2,366 | 2,131 | $113K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 5,246 | 4,958 | $90K |
| 99051 | 2.1% | 8,596 | 7,788 | $57K | |
| 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 | 2.0% | 548 | 494 | $53K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 1,155 | 1,104 | $50K |
| 99173 | 1.4% | 5,121 | 4,933 | $37K |
35 more codes
| 92551 | 1.2% | 5,113 | $31K | |
| 99383 | <1% | 144 | $17K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,198 | $13K |
| 99384 | <1% | 79 | $10K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 104 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 774 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 56 | $7K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 217 | $5K |
| 99381 | <1% | 41 | $4K | |
| 99382 | <1% | 36 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | $250.68 |
| 99050 | <1% | 13 | $168.61 | |
| 94760 | <1% | 71 | $106.24 | |
| 90671 | <1% | 304 | $0.06 | |
| 90677 | <1% | 380 | $0.01 | |
| 90698 | 0% | 263 | $0.00 | |
| 90686 | 0% | 1,947 | $0.00 | |
| 90696 | 0% | 100 | $0.00 | |
| 90651 | 0% | 81 | $0.00 | |
| 90697 | 0% | 534 | $0.00 | |
| 90744 | 0% | 66 | $0.00 | |
| 90716 | 0% | 16 | $0.00 | |
| 85018 | 0% | 41 | $0.00 | |
| 90670 | 0% | 881 | $0.00 | |
| 90710 | 0% | 441 | $0.00 | |
| 90681 | 0% | 383 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 275 | $0.00 |
| 90734 | 0% | 120 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| 90715 | 0% | 93 | $0.00 | |
| 90633 | 0% | 809 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90672 | 0% | 13 | $0.00 | |
| 90707 | 0% | 16 | $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.
From NPPES
Who's on the registration
Authorized officialHAMMOUD, FADI (PEDIATRICIAN)