Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST ANTHONY SHAWNEE HOSPITAL INC

NPI: 1134123193 · SHAWNEE, OK 74804 · Anesthesiology Physician · NPI assigned 06/08/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MANUEL, SHASTA controls 20+ related entities in our dataset. Read more

$23.00M
Total Medicaid Paid
350,643
Total Claims
338,677
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMANUEL, SHASTA (VP - FINANCE)
NPI Enumeration Date06/08/2005

Related Entities

Other providers sharing the same authorized official: MANUEL, SHASTA

ProviderCityStateTotal Paid
SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK $46.86M
SAINTS MEDICAL GROUP, LLC SHAWNEE OK $14.52M
SAINT MEDICAL GROUP, LLC SHAWNEE OK $4.51M
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $2.49M
SAINTS MEDICAL GROUP, LLC SHAWNEE OK $1.32M
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $1.26M
SSM HEALTH CARE OF OKLAHOMA, INC. OKLAHOMA CITY OK $856K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $842K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $398K
SSM REGIONAL HEALTH SERVICES BELLE MO $388K
SSM REGIONAL HEALTH SERVICES TIPTON MO $304K
SSM HEALTH CARE OF OKLAHOMA, INC OKLAHOMA CITY OK $269K
SAINT MEDICAL GROUP, LLC TECUMSEH OK $246K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $239K
SAINT MEDICAL GROUP, LLC CHANDLER OK $194K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $191K
SAINTS MEDICAL GROUP, LLC OKEMAH OK $165K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $149K
SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK $84K
SSM REGIONAL HEALTH SERVICES JEFFERSON CITY MO $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,679 $2.03M
2019 35,618 $2.12M
2020 28,044 $1.67M
2021 45,185 $2.57M
2022 72,440 $4.80M
2023 82,357 $5.92M
2024 51,320 $3.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 43,384 42,920 $6.81M
99284 Emergency department visit for the evaluation and management, high severity 21,910 21,708 $4.91M
99282 Emergency department visit for the evaluation and management, low to moderate severity 25,291 25,131 $2.34M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,461 14,273 $1.84M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,368 3,343 $1.07M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 9,840 9,703 $725K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 998 642 $638K
42820 Tonsillectomy and adenoidectomy; younger than age 12 153 153 $512K
J3490 Unclassified drugs 11,238 9,021 $427K
96375 Therapeutic injection; each additional sequential IV push 8,488 8,324 $363K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,323 5,277 $242K
80053 Comprehensive metabolic panel 14,281 13,991 $209K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,567 1,559 $208K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 8,543 8,418 $200K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,179 506 $195K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,996 2,968 $193K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,753 29,066 $189K
87070 19,554 19,365 $147K
71045 Radiologic examination, chest; single view 11,814 11,725 $145K
96361 Intravenous infusion, hydration; each additional hour 4,226 4,188 $139K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,969 2,955 $118K
99232 Subsequent hospital care, per day, moderate complexity 2,921 1,358 $107K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,749 3,646 $107K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 6,396 6,063 $86K
S9443 Lactation classes, non-physician provider, per session 866 864 $74K
80055 1,244 1,243 $53K
70450 Computed tomography, head or brain; without contrast material 1,267 1,259 $51K
74177 Computed tomography, abdomen and pelvis; with contrast material 328 327 $49K
81025 6,795 6,732 $47K
99239 Hospital discharge day management, more than 30 minutes 758 750 $46K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 115 115 $45K
87086 Culture, bacterial; quantitative colony count, urine 5,910 5,845 $42K
99233 Prolong inpt eval add15 m 634 349 $40K
81003 18,079 17,905 $39K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,836 6,751 $37K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,510 2,499 $35K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,709 1,708 $35K
87150 997 994 $29K
71046 Radiologic examination, chest; 2 views 1,892 1,883 $27K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 841 838 $25K
80048 Basic metabolic panel (calcium, ionized) 2,611 2,577 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 840 837 $23K
36415 Collection of venous blood by venipuncture 1,992 1,904 $22K
87653 622 620 $20K
74176 Computed tomography, abdomen and pelvis; without contrast material 244 241 $18K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 117 68 $17K
83655 1,440 1,439 $17K
83690 2,888 2,862 $16K
99223 Prolong inpt eval add15 m 160 155 $16K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 158 158 $15K
86787 921 920 $13K
80050 General health panel 435 435 $13K
94060 414 414 $13K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 98 97 $11K
87081 1,624 1,619 $11K
86803 978 978 $11K
84484 665 639 $10K
82950 1,468 1,467 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,453 1,291 $7K
99238 Hospital discharge day management, 30 minutes or less 152 151 $6K
87807 518 512 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 83 80 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 476 474 $5K
80306 353 350 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 28 28 $5K
00170 Anesthesia for intraoral procedures, including biopsy 25 25 $5K
99220 44 44 $5K
80061 Lipid panel 493 492 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 24 24 $4K
83036 Hemoglobin; glycosylated (A1C) 530 529 $4K
83970 96 96 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 253 250 $3K
87428 109 109 $3K
99222 Initial hospital care, per day, moderate complexity 39 39 $3K
99217 67 67 $3K
00126 18 18 $3K
84439 354 354 $3K
87510 144 141 $2K
87660 144 141 $2K
87480 144 141 $2K
88300 266 266 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26 26 $2K
86762 230 230 $2K
84481 169 169 $2K
86850 301 300 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 40 40 $2K
97597 324 161 $2K
86780 226 226 $2K
84443 Thyroid stimulating hormone (TSH) 149 149 $1K
85014 669 669 $1K
87340 226 226 $1K
83605 104 102 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,570 3,486 $1K
80069 157 143 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 43 43 $988.69
85018 470 470 $899.75
99281 Emergency department visit for the evaluation and management, self-limited or minor 16 15 $776.21
87075 56 51 $729.05
94729 14 14 $706.58
86592 205 203 $654.77
84156 215 195 $612.32
82570 126 119 $539.27
83735 94 92 $530.44
94727 14 14 $529.06
J3010 Injection, fentanyl citrate, 0.1 mg 501 428 $527.12
85027 92 92 $522.35
83615 94 93 $461.38
86900 272 271 $444.50
86901 272 271 $438.90
82728 31 31 $415.91
83880 12 12 $384.12
84550 113 112 $345.60
J7030 Infusion, normal saline solution , 1000 cc 7,625 7,463 $284.49
88304 13 13 $271.07
82248 59 37 $259.26
82247 58 36 $254.79
82607 13 13 $199.03
87147 39 39 $192.21
87205 56 51 $178.60
86706 13 13 $124.15
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 92 92 $89.40
80076 14 14 $77.78
J0131 Injection, acetaminophen, not otherwise specified,10 mg 25 25 $43.85
J1200 Injection, diphenhydramine hcl, up to 50 mg 711 697 $9.43
J7120 Ringers lactate infusion, up to 1000 cc 1,186 1,090 $0.90
J1100 Injection, dexamethasone sodium phosphate, 1 mg 579 576 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 200 199 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 53 53 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 13 13 $0.00
J7510 Prednisolone oral, per 5 mg 50 50 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 342 333 $0.00