Edgington, Shawn

Edgington, Shawn was paid $407K by Medicaid between Oct 2021 and Feb 2024, across 4 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 57% of everything it billed.

33Billing provider infoEDGINGTON, SHAWN
KERRVILLE, TX 78028

33aNPI1124504766assigned 07/17/2018

33bProvider typeProfessional Counselor

28Total paid$407K

24GClaims7,163

24DCodes billed4

24AFirst – last monthOct 2021 – Feb 2024

Compared with peers

Next to other Professional Counselor providers in Texas

Rank by total paid#77 of 854

Median peer was paid$56K

This provider vs. median7.2×

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	116	$9K
2022	603	$45K
2023	5,485	$296K
2024incomplete	959	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	57%	3,576	833	$233K
90846	Family psychotherapy without the patient present, 50 minutes	26%	2,213	574	$107K
90847	Family psychotherapy with the patient present, 50 minutes	16%	1,320	395	$64K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	54	28	$3K

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.