Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHI, SHELLY

NPI: 1992721104 · NEW YORK, NY 10013 · Internal Medicine Physician · NPI assigned 07/14/2006

$1.51M
Total Medicaid Paid
73,964
Total Claims
69,010
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,736 $112K
2019 13,947 $232K
2020 11,832 $211K
2021 15,057 $298K
2022 14,267 $266K
2023 8,541 $223K
2024 5,584 $172K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,298 11,793 $927K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,324 1,324 $159K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 922 922 $119K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,242 1,185 $59K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,521 2,428 $42K
92551 3,567 3,565 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 286 286 $31K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2,769 2,768 $29K
G0444 Annual depression screening, 5 to 15 minutes 2,879 2,878 $26K
90674 762 762 $22K
90746 126 126 $8K
90686 300 300 $6K
36415 Collection of venous blood by venipuncture 4,667 4,611 $6K
90756 220 220 $5K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,287 2,286 $5K
90688 189 189 $3K
99385 25 25 $3K
H0001 Alcohol and/or drug assessment 2,217 2,214 $3K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 117 117 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53 51 $3K
3074F 2,332 2,096 $3K
3078F 2,323 2,077 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,651 5,744 $1K
93000 138 138 $1K
90632 16 16 $1K
90472 Immunization administration, each additional vaccine (list separately) 70 70 $973.69
90661 37 37 $954.59
99442 27 25 $871.60
1160F 3,372 2,936 $821.23
3079F 735 678 $789.50
3075F 652 585 $588.00
90656 25 25 $547.28
90658 15 15 $202.98
1159F 3,365 2,929 $145.00
3008F 3,259 2,904 $0.34
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 2,132 2,129 $0.08
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,767 2,479 $0.00
1036F 1,035 1,034 $0.00
1000F 1,100 1,099 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 1,378 1,241 $0.00
A4556 Electrodes, (e.g., apnea monitor), per pair 60 60 $0.00
99429 14 12 $0.00
3725F 1,091 1,090 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 493 437 $0.00
3016F 1,106 1,104 $0.00