Clinic
Sheareen Gedayloo MD LLC
Sheareen Gedayloo MD LLC was paid $52K by Medicaid between Jan 2018 and Feb 2019, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoSHEAREEN GEDAYLOO MD LLC
HILO, HI 96720
HILO, HI 96720
33aNPI1962853317assigned 06/27/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$52K
24GClaims4,965
24DCodes billed35
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Primary Care Clinic/Center providers in Hawaii
Rank by total paid#16 of 37
Median peer was paid$33K
This provider vs. median1.6×
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 | 4,024 | $46K | |
| 2019 | 941 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 82% | 1,104 | 836 | $43K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.2% | 99 | 80 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 124 | 108 | $4K |
| 96127 | 1.5% | 179 | 176 | $796.65 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 74 | 65 | $236.54 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 73 | 63 | $100.53 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 281 | 225 | $0.90 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | <1% | 116 | 110 | $0.90 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 144 | 135 | $0.60 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 80 | 73 | $0.60 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 255 | 187 | $0.45 |
| 3008F | <1% | 727 | 617 | $0.03 |
23 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 284 | $0.00 |
| 1170F | 0% | 19 | $0.00 | |
| 3754F | 0% | 17 | $0.00 | |
| 3011F | 0% | 17 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 4037F | 0% | 283 | $0.00 | |
| 1036F | 0% | 123 | $0.00 | |
| 3061F | 0% | 27 | $0.00 | |
| 3075F | 0% | 14 | $0.00 | |
| 1101F | 0% | 16 | $0.00 | |
| 3079F | 0% | 28 | $0.00 | |
| 1159F | 0% | 32 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 257 | $0.00 |
| 0521F | 0% | 34 | $0.00 | |
| 1090F | 0% | 14 | $0.00 | |
| 4274F | 0% | 88 | $0.00 | |
| 99408 | 0% | 98 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 124 | $0.00 |
| 1175F | 0% | 17 | $0.00 | |
| 2022F | 0% | 102 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 55 | $0.00 |
| 4019F | 0% | 34 | $0.00 | |
| 1160F | 0% | 13 | $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 officialGEDAYLOO, SHEAREEN (ONWER/MD)