NP / PA
Shane Higginbotham MD PA
Shane Higginbotham MD PA was paid $493K by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoSHANE HIGGINBOTHAM MD PA
MALVERN, AR 72104
MALVERN, AR 72104
33aNPI1033129713assigned 08/08/2006
33bProvider typePhysician Assistant
28Total paid$493K
24GClaims20,661
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physician Assistant providers in Arkansas
Rank by total paid#12 of 23
Median peer was paid$493K
This provider vs. median1.0×
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 | 1,673 | $17K | |
| 2019 | 1,851 | $28K | |
| 2020 | 1,400 | $27K | |
| 2021 | 2,733 | $50K | |
| 2022 | 5,363 | $139K | |
| 2023 | 4,573 | $128K | |
| 2024incomplete | 3,068 | $103K |
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 | 29% | 3,786 | 3,240 | $145K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 2,890 | 2,477 | $94K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 14% | 1,798 | 1,624 | $67K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.7% | 358 | 320 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.2% | 631 | 607 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 583 | 570 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.4% | 1,892 | 878 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 346 | 331 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 1,396 | 1,302 | $17K |
| 87634 | 2.4% | 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 | <1% | 42 | 37 | $3K |
| 87631 | <1% | 39 | 34 | $2K |
28 more codes
| 81025 | <1% | 199 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 54 | $1K |
| 81002 | <1% | 394 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 92 | $986.21 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 15 | $793.13 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,056 | $450.80 |
| 82962 | <1% | 200 | $217.90 | |
| 81003 | <1% | 83 | $98.40 | |
| 96127 | <1% | 27 | $81.84 | |
| 94760 | <1% | 27 | $80.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $24.24 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $7.56 |
| 1159F | <1% | 1,333 | $1.61 | |
| 1126F | <1% | 971 | $0.06 | |
| 1125F | <1% | 1,440 | $0.05 | |
| 1170F | <1% | 29 | $0.01 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 86 | $0.01 |
| 3288F | <1% | 27 | $0.01 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 63 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 105 | $0.00 |
| 1036F | 0% | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 32 | $0.00 |
| 99406 | 0% | 27 | $0.00 | |
| 90674 | 0% | 33 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 45 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 162 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 154 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 51 | $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 officialOVERTON, KIM (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Covenant Health LLC | Rockport, AR | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.