Physician
Priya, Shanmukha
Priya, Shanmukha was paid $42K by Medicaid between Apr 2018 and Jan 2022, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoPRIYA, SHANMUKHA
ELMONT, NY 11003
ELMONT, NY 11003
33aNPI1992073787assigned 12/07/2011
33bProvider typePediatrics Physician
28Total paid$42K
24GClaims1,416
24DCodes billed13
24AFirst – last monthApr 2018 – Jan 2022
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#841 of 1,983
Median peer was paid$17K
This provider vs. median2.5×
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 | 64 | $2K | |
| 2019 | 527 | $14K | |
| 2020 | 450 | $10K | |
| 2021 | 295 | $13K | |
| 2022 | 80 | $3K |
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 | 57% | 257 | 211 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 152 | 133 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 117 | 89 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.7% | 326 | 273 | $2K |
| 0071A | 1.6% | 17 | 17 | $680.00 | |
| 0072A | 1.5% | 16 | 16 | $640.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 44 | 44 | $476.48 |
| 81002 | <1% | 44 | 40 | $92.44 | |
| 91307 | <1% | 24 | 24 | $0.24 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 274 | 223 | $0.00 |
| 90686 | 0% | 29 | 29 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 25 | 24 | $0.00 |
1 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 91 | $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.