Hughes, Shira

Hughes, Shira was paid $12K by Medicaid between Jun 2019 and May 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoHUGHES, SHIRA
MORGANTOWN, KY 42261

33aNPI1104238146assigned 05/26/2014

33bProvider typeNurse Practitioner

28Total paid$12K

24GClaims2,484

24DCodes billed15

24AFirst – last monthJun 2019 – May 2022

Compared with peers

Next to other Nurse Practitioner providers in Kentucky

Rank by total paid#186 of 260

Median peer was paid$89K

This provider vs. median0.1×

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
2019	61	$89.51
2020	76	$747.64
2021	1,378	$6K
2022	969	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	87%	909	659	$10K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	4.3%	24	17	$500.50
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	3.5%	41	29	$409.64
99497		3.5%	13	13	$405.36
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	2.1%	33	19	$237.36
3078F		<1%	245	214	$0.79
3074F		<1%	184	160	$0.55
1125F		<1%	142	128	$0.50
1126F		<1%	40	35	$0.10
3075F		<1%	12	12	$0.05
1159F		<1%	295	255	$0.03
1160F		<1%	295	255	$0.03

3 more codes

1101F		0%	225	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	13	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	13	$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.