Physician
Sheth, Shital
Sheth, Shital was paid $205K by Medicaid between Jan 2018 and Oct 2024, across 56 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 29% of everything it billed.
33Billing provider infoSHETH, SHITAL
HEMPSTEAD, NY 11550
HEMPSTEAD, NY 11550
33aNPI1932150877assigned 05/15/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$205K
24GClaims52,245
24DCodes billed56
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in New York
Rank by total paid#71 of 161
Median peer was paid$100K
This provider vs. median2.0×
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 | 3,996 | $24K | |
| 2019 | 10,555 | $37K | |
| 2020 | 10,752 | $38K | |
| 2021 | 9,335 | $30K | |
| 2022 | 9,098 | $32K | |
| 2023 | 8,319 | $43K | |
| 2024incomplete | 190 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 29% | 2,856 | 2,765 | $60K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 29% | 3,062 | 3,052 | $58K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.7% | 962 | 954 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 1,880 | 1,835 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 1,782 | 1,779 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 2,174 | 2,166 | $12K |
| 86580 | 4.7% | 1,101 | 1,099 | $10K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 1,352 | 1,337 | $6K |
| 92552 | 2.2% | 2,912 | 2,903 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 3,122 | 2,990 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 281 | 281 | $4K |
| 0071A | <1% | 51 | 51 | $1K |
44 more codes
| S9451 | Exercise classes, non-physician provider, per session | <1% | 899 | $1K |
| 0003A | <1% | 32 | $1K | |
| 0072A | <1% | 42 | $1K | |
| 90686 | <1% | 2,132 | $873.52 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 295 | $815.54 |
| 90670 | <1% | 100 | $375.00 | |
| 0001A | <1% | 13 | $280.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 1,114 | $270.00 |
| 90633 | <1% | 91 | $189.00 | |
| 90651 | <1% | 270 | $180.00 | |
| 90620 | <1% | 77 | $178.88 | |
| 90685 | <1% | 164 | $151.20 | |
| 3074F | <1% | 2,314 | $115.00 | |
| 3078F | <1% | 2,181 | $95.00 | |
| 90734 | <1% | 124 | $85.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 798 | $57.28 |
| 3079F | <1% | 12 | $2.50 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 1,111 | $0.25 |
| 97802 | <1% | 2,163 | $0.01 | |
| 1000F | 0% | 1,027 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 706 | $0.00 |
| 3008F | 0% | 2,993 | $0.00 | |
| 4293F | 0% | 1,114 | $0.00 | |
| 2001F | 0% | 1,641 | $0.00 | |
| 1036F | 0% | 865 | $0.00 | |
| 2000F | 0% | 2,676 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 216 | $0.00 |
| 2010F | 0% | 1,607 | $0.00 | |
| 2015F | 0% | 12 | $0.00 | |
| 91307 | 0% | 96 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 38 | $0.00 |
| 90698 | 0% | 28 | $0.00 | |
| 1005F | 0% | 12 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 2016F | 0% | 12 | $0.00 | |
| 1038F | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,075 | $0.00 |
| 3016F | 0% | 1,116 | $0.00 | |
| 3725F | 0% | 1,093 | $0.00 | |
| 90461 | 0% | 218 | $0.00 | |
| 91300 | 0% | 49 | $0.00 | |
| 90710 | 0% | 27 | $0.00 | |
| 4004F | 0% | 56 | $0.00 | |
| 99080 | 0% | 75 | $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.