Medicaid Provider Spending

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

SHANE HIGGINBOTHAM MD PA

NPI: 1033129713 · MALVERN, AR 72104 · Physician Assistant · NPI assigned 08/08/2006

$493K
Total Medicaid Paid
20,661
Total Claims
17,505
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOVERTON, KIM (OFFICE MANAGER)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: OVERTON, KIM

ProviderCityStateTotal Paid
COVENANT HEALTH LLC ROCKPORT AR $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,673 $17K
2019 1,851 $28K
2020 1,400 $27K
2021 2,733 $50K
2022 5,363 $139K
2023 4,573 $128K
2024 3,068 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,786 3,240 $145K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,890 2,477 $94K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,798 1,624 $67K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 358 320 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 631 607 $36K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 583 570 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,892 878 $22K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 346 331 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,396 1,302 $17K
87634 143 138 $12K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 42 37 $3K
87631 39 34 $2K
81025 199 174 $2K
71046 Radiologic examination, chest; 2 views 54 50 $1K
81002 394 375 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 92 80 $986.21
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15 14 $793.13
36415 Collection of venous blood by venipuncture 1,056 988 $450.80
82962 200 182 $217.90
81003 83 77 $98.40
96127 27 25 $81.84
94760 27 21 $80.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 14 12 $24.24
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 14 $7.56
1159F 1,333 1,094 $1.61
1126F 971 875 $0.06
1125F 1,440 1,212 $0.05
1170F 29 28 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 86 76 $0.01
3288F 27 26 $0.01
G8754 Most recent diastolic blood pressure < 90 mmhg 63 59 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 105 93 $0.00
1036F 20 17 $0.00
G0008 Administration of influenza virus vaccine 32 32 $0.00
99406 27 25 $0.00
90674 33 33 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 45 36 $0.00
G0444 Annual depression screening, 5 to 15 minutes 162 150 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 154 132 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 51 47 $0.00