Clinic
Shadow Mountain Behavioral Health System, LLC
Shadow Mountain Behavioral Health System, LLC was paid $359K by Medicaid between Jan 2018 and Jun 2019, across 13 billing codes. Its largest line is 99221, — 39% of everything it billed.
33Billing provider infoSHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
TULSA, OK 74133
TULSA, OK 74133
33aNPI1124037288assigned 08/07/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$359K
24GClaims4,812
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Oklahoma
Rank by total paid#52 of 90
Median peer was paid$602K
This provider vs. median0.6×
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 | 3,706 | $276K | |
| 2019 | 1,106 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99221 | 39% | 1,748 | 1,690 | $140K | |
| 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 | 18% | 820 | 803 | $66K |
| 99223 | Prolong inpt eval add15 m | 14% | 369 | 357 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 837 | 824 | $46K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.0% | 202 | 202 | $25K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.8% | 174 | 173 | $10K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.5% | 395 | 235 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 109 | 61 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 85 | 56 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 32 | 32 | $2K |
| 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% | 15 | 15 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $1K |
1 more codes
| 99307 | <1% | 14 | $280.38 |
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 officialWORSHAM, SHARON (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Shadow Mountain Behavioral Health System, LLC | Tulsa, OK | $125K |
| Shadow Mountain Behavioral Health System, LLC | Tulsa, OK | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.