Physician
Patel, Shefali
Patel, Shefali was paid $323K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoPATEL, SHEFALI
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1982694857assigned 10/24/2005
33bProvider typeInternal Medicine Physician
28Total paid$323K
24GClaims21,854
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#172 of 1,027
Median peer was paid$30K
This provider vs. median11×
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 | 2,918 | $74K | |
| 2019 | 3,396 | $55K | |
| 2020 | 3,015 | $45K | |
| 2021 | 2,642 | $42K | |
| 2022 | 3,412 | $37K | |
| 2023 | 3,710 | $42K | |
| 2024incomplete | 2,761 | $29K |
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 | 46% | 7,001 | 5,894 | $149K |
| 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 | 35% | 5,319 | 4,185 | $112K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.6% | 1,513 | 1,367 | $25K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.5% | 206 | 202 | $11K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.0% | 539 | 395 | $7K |
| 90756 | 1.9% | 574 | 522 | $6K | |
| 99423 | 1.3% | 353 | 331 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 232 | 230 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,041 | 1,963 | $2K |
| 99421 | <1% | 226 | 216 | $922.42 | |
| 81002 | <1% | 1,822 | 1,733 | $678.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 184 | 173 | $623.26 |
13 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 115 | $415.66 |
| 90661 | <1% | 38 | $368.50 | |
| 99443 | <1% | 44 | $312.62 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $288.93 |
| 99457 | <1% | 832 | $193.00 | |
| 99454 | <1% | 267 | $163.83 | |
| 99490 | Ccm add 20min | <1% | 14 | $62.48 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 54 | $56.20 |
| G0008 | Administration of influenza virus vaccine | <1% | 234 | $43.90 |
| 3288F | 0% | 66 | $0.00 | |
| 99453 | 0% | 48 | $0.00 | |
| 99497 | 0% | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 98 | $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.