Physician
Shannon Kluppel MD
Shannon Kluppel MD was paid $230K by Medicaid between Jan 2021 and Dec 2022, across 29 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 31% of everything it billed.
33Billing provider infoSHANNON KLUPPEL MD
BAYTOWN, TX 77520
BAYTOWN, TX 77520
33aNPI1073149480assigned 03/17/2020
33bProvider typePediatrics Physician
28Total paid$230K
24GClaims16,916
24DCodes billed29
24AFirst – last monthJan 2021 – Dec 2022
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#623 of 1,136
Median peer was paid$329K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 8,951 | $100K | |
| 2022 | 7,965 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 31% | 1,679 | 1,561 | $70K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 1,808 | 1,662 | $64K |
| 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 | 20% | 882 | 824 | $45K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 8.9% | 759 | 697 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 658 | 608 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 753 | 367 | $5K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.0% | 14 | 13 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 85 | 54 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 43 | 38 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | 24 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | 17 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 66 | 42 | $820.42 |
17 more codes
| 90461 | <1% | 104 | $437.10 | |
| CP002 | <1% | 16 | $160.00 | |
| 97802 | <1% | 1,527 | $60.72 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 68 | $50.00 |
| 96161 | <1% | 99 | $11.49 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 657 | $0.00 |
| 96146 | 0% | 45 | $0.00 | |
| 90686 | 0% | 31 | $0.00 | |
| 90680 | 0% | 41 | $0.00 | |
| 1033F | 0% | 2,301 | $0.00 | |
| 90670 | 0% | 50 | $0.00 | |
| 97803 | 0% | 448 | $0.00 | |
| 1032F | 0% | 745 | $0.00 | |
| 99072 | 0% | 3,207 | $0.00 | |
| 99401 | 0% | 547 | $0.00 | |
| 96160 | 0% | 122 | $0.00 | |
| 90672 | 0% | 119 | $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 officialKLUPPEL, SHANNON (OWNER)