Medicaid Provider Spending

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

SHEARER, ROBERT

NPI: 1134142987 · SPRINGFIELD, TN 37172 · Gynecology Physician · NPI assigned 07/25/2006

$1.02M
Total Medicaid Paid
21,687
Total Claims
10,208
Beneficiaries
20
Codes Billed
2018-01
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,989 $365K
2019 6,589 $371K
2020 4,109 $281K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 2,349 1,392 $426K
H2010 Comprehensive medication services, per 15 minutes 3,252 1,172 $164K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,608 1,545 $137K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,503 982 $89K
H0033 Oral medication administration, direct observation 582 253 $52K
99484 1,288 1,185 $40K
80305 6,992 2,869 $39K
H0014 Alcohol and/or drug services; ambulatory detoxification 188 125 $31K
99205 Prolong outpt/office vis 188 85 $12K
99215 Prolong outpt/office vis 91 82 $7K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 134 98 $6K
99492 38 38 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 59 55 $4K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 107 84 $3K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 85 68 $3K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 19 19 $263.37
G0444 Annual depression screening, 5 to 15 minutes 19 19 $263.15
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 137 111 $125.88
81025 18 14 $52.93
36415 Collection of venous blood by venipuncture 30 12 $21.21