Physician
Shepherd, Loni
Shepherd, Loni was paid $148K by Medicaid between Jan 2020 and Jul 2023, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoSHEPHERD, LONI
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
33aNPI1073704268assigned 08/05/2007
33bProvider typePediatrics Physician
28Total paid$148K
24GClaims5,239
24DCodes billed18
24AFirst – last monthJan 2020 – Jul 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#672 of 1,136
Median peer was paid$329K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 572 | $12K | |
| 2021 | 2,442 | $64K | |
| 2022 | 1,576 | $51K | |
| 2023 | 649 | $20K |
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 | 40% | 1,151 | 1,100 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 976 | 913 | $36K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.4% | 1,287 | 589 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 122 | 111 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 71 | 71 | $6K |
| 87428 | 3.5% | 75 | 74 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 325 | 315 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 139 | 130 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 29 | 29 | $3K |
| S8301 | Infection control supplies, not otherwise specified | 1.7% | 273 | 262 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 113 | 56 | $2K |
| 90461 | <1% | 249 | 213 | $1K |
6 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 67 | $980.06 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $946.53 |
| 92551 | <1% | 165 | $179.37 | |
| 87807 | <1% | 12 | $116.60 | |
| 90686 | <1% | 133 | $0.01 | |
| 90670 | 0% | 39 | $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.