Physician
Raghu, Shalini
Raghu, Shalini was paid $612K by Medicaid between Jan 2018 and Oct 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoRAGHU, SHALINI
BAYONNE, NJ 07002
BAYONNE, NJ 07002
33aNPI1942355680assigned 01/24/2007
33bProvider typePediatrics Physician
28Total paid$612K
24GClaims20,839
24DCodes billed31
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#153 of 549
Median peer was paid$154K
This provider vs. median4.0×
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 | 2,180 | $99K | |
| 2019 | 2,010 | $79K | |
| 2020 | 2,048 | $53K | |
| 2021 | 2,801 | $74K | |
| 2022 | 4,249 | $115K | |
| 2023 | 4,944 | $119K | |
| 2024incomplete | 2,607 | $72K |
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 | 71% | 10,464 | 7,816 | $435K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 2,652 | 2,566 | $53K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.3% | 944 | 885 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 545 | 527 | $12K |
| 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 | 1.9% | 157 | 152 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 195 | 194 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 147 | 147 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 167 | 167 | $9K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 775 | 746 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 389 | 373 | $5K |
| 90677 | <1% | 14 | 14 | $3K | |
| 90461 | <1% | 259 | 258 | $3K |
19 more codes
| 90686 | <1% | 681 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 1,039 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 37 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 25 | $1K |
| 96127 | <1% | 415 | $928.06 | |
| 99173 | <1% | 845 | $924.68 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $279.31 |
| 90700 | <1% | 65 | $235.05 | |
| 99188 | <1% | 13 | $233.00 | |
| 90713 | <1% | 31 | $193.28 | |
| 90661 | <1% | 76 | $144.90 | |
| 83655 | <1% | 63 | $49.27 | |
| 90648 | <1% | 17 | $38.76 | |
| 90633 | <1% | 14 | $38.24 | |
| 3008F | <1% | 634 | $20.00 | |
| 90715 | 0% | 21 | $0.00 | |
| 90734 | 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.