Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Shanshen, Enas

Shanshen, Enas was paid $364K by Medicaid between Sep 2021 and Nov 2024, across 10 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 22% of everything it billed.

33Billing provider infoSHANSHEN, ENAS
SPRINGFIELD, IL 62702
33aNPI1093092389assigned 11/15/2011
28Total paid$364K
24GClaims11,742
24DCodes billed10
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers

Next to other Pediatric Cardiology Physician providers in Illinois

Rank by total paid#4 of 78
Median peer was paid$95K
This provider vs. median3.8×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2021585$12K
20223,437$112K
20234,395$142K
2024incomplete3,325$98K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99244 Office or other outpatient consultation, moderate to high complexity 22% 567 458 $81K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 14% 1,362 1,241 $52K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14% 4,853 4,254 $51K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14% 1,186 1,081 $51K
93325 11% 1,661 1,454 $39K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.6% 361 323 $28K
93320 7.6% 1,360 1,235 $28K
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 6.3% 298 262 $23K
99245 3.2% 72 69 $12K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 22 15 $2K

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.