Physician
A Shawn Adhami M D a Professional Corporation
A Shawn Adhami M D a Professional Corporation was paid $506K by Medicaid between Jan 2018 and Nov 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoA SHAWN ADHAMI M D A PROFESSIONAL CORPORATION
MONTEBELLO, CA 90640
MONTEBELLO, CA 90640
33aNPI1932315827assigned 05/15/2007
33bProvider typeGeneral Practice Physician
28Total paid$506K
24GClaims70,309
24DCodes billed75
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#51 of 474
Median peer was paid$10K
This provider vs. median49×
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 | 6,902 | $159K | |
| 2019 | 9,447 | $91K | |
| 2020 | 9,535 | $30K | |
| 2021 | 12,701 | $33K | |
| 2022 | 9,422 | $63K | |
| 2023 | 11,057 | $93K | |
| 2024incomplete | 11,245 | $37K |
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 | 17% | 17,855 | 15,318 | $87K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 13% | 1,868 | 1,865 | $68K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 13% | 2,703 | 1,682 | $64K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 7.9% | 238 | 229 | $40K |
| 99401 | 7.7% | 4,905 | 4,672 | $39K | |
| J3490 | Unclassified drugs | 5.6% | 260 | 214 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.0% | 3,910 | 3,711 | $25K |
| 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 | 4.7% | 3,935 | 3,625 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 601 | 601 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 731 | 721 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 395 | 394 | $14K |
| 92552 | 2.8% | 1,311 | 1,310 | $14K |
63 more codes
| Z1034 | 2.5% | 234 | $13K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 1,393 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 435 | $8K |
| 99000 | 1.1% | 2,223 | $5K | |
| 85018 | <1% | 1,696 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 158 | $4K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 344 | $4K |
| 90688 | <1% | 534 | $3K | |
| 81025 | <1% | 1,079 | $2K | |
| 99201 | <1% | 318 | $2K | |
| 99385 | <1% | 69 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 542 | $2K |
| 96156 | <1% | 312 | $1K | |
| 81002 | <1% | 491 | $960.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 757 | $941.10 |
| 82947 | <1% | 109 | $461.16 | |
| 82465 | <1% | 112 | $439.56 | |
| 96127 | <1% | 877 | $388.77 | |
| 90670 | <1% | 69 | $369.00 | |
| 99241 | <1% | 182 | $354.96 | |
| 90698 | <1% | 41 | $342.00 | |
| 90680 | <1% | 39 | $297.00 | |
| Z6406 | <1% | 38 | $287.66 | |
| 97803 | <1% | 66 | $227.07 | |
| Z6400 | <1% | 28 | $212.72 | |
| 90715 | <1% | 15 | $155.91 | |
| 90658 | <1% | 28 | $130.40 | |
| 99242 | <1% | 14 | $127.44 | |
| 93000 | <1% | 24 | $115.38 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,712 | $102.32 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 26 | $95.16 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 668 | $68.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 143 | $43.87 |
| 90686 | <1% | 139 | $38.25 | |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $23.60 |
| 3725F | <1% | 32 | $20.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 866 | $16.01 |
| 90671 | <1% | 40 | $9.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 131 | $3.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,078 | $0.01 |
| 3074F | 0% | 2,561 | $0.00 | |
| 3079F | 0% | 1,226 | $0.00 | |
| 94760 | 0% | 102 | $0.00 | |
| 3049F | 0% | 25 | $0.00 | |
| 3008F | 0% | 4,713 | $0.00 | |
| 3075F | 0% | 254 | $0.00 | |
| 3061F | 0% | 104 | $0.00 | |
| 3044F | 0% | 64 | $0.00 | |
| 99386 | 0% | 48 | $0.00 | |
| 3048F | 0% | 64 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 97802 | 0% | 24 | $0.00 | |
| 99443 | 0% | 15 | $0.00 | |
| S0613 | Annual gynecological examination; clinical breast examination without pelvic evaluation | 0% | 823 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 467 | $0.00 |
| 59425 | 0% | 109 | $0.00 | |
| 3078F | 0% | 1,786 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 13 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 56 | $0.00 |
| 3051F | 0% | 14 | $0.00 | |
| 3015F | 0% | 17 | $0.00 | |
| 90707 | 0% | 12 | $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 officialADHAMI, AFSHIN (MD OWNER)