Physician
Shield Medical Group PLLC
Shield Medical Group PLLC was paid $256K by Medicaid between Apr 2018 and Dec 2024, across 25 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 28% of everything it billed.
33Billing provider infoSHIELD MEDICAL GROUP PLLC
SEBRING, FL 33870
SEBRING, FL 33870
33aNPI1184125338assigned 02/23/2018
33bProvider typeInternal Medicine Physician
28Total paid$256K
24GClaims16,638
24DCodes billed25
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#119 of 1,247
Median peer was paid$9K
This provider vs. median29×
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 | 445 | $2K | |
| 2019 | 2,341 | $54K | |
| 2020 | 5,199 | $73K | |
| 2021 | 3,039 | $47K | |
| 2022 | 2,276 | $21K | |
| 2023 | 1,465 | $31K | |
| 2024incomplete | 1,873 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 28% | 816 | 637 | $71K |
| 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 | 23% | 2,549 | 1,796 | $60K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,334 | 1,685 | $37K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 14% | 3,528 | 1,918 | $35K |
| 99310 | Prolong nursin fac eval 15m | 11% | 2,131 | 952 | $29K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.6% | 2,403 | 511 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 282 | 130 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 517 | 397 | $2K |
| 99306 | Prolong nursin fac eval 15m | <1% | 55 | 40 | $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% | 14 | 13 | $910.29 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 361 | 267 | $482.21 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 49 | 40 | $449.23 |
13 more codes
| 99490 | Ccm add 20min | <1% | 78 | $411.33 |
| 36415 | Collection of venous blood by venipuncture | <1% | 114 | $124.71 |
| 1125F | <1% | 30 | $48.57 | |
| 3074F | <1% | 564 | $25.00 | |
| 1101F | 0% | 20 | $0.00 | |
| 3080F | 0% | 19 | $0.00 | |
| 3078F | 0% | 548 | $0.00 | |
| 3077F | 0% | 19 | $0.00 | |
| 1100F | 0% | 46 | $0.00 | |
| 3288F | 0% | 33 | $0.00 | |
| 0518F | 0% | 33 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 22 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 73 | $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.
From NPPES
Who's on the registration
Authorized officialKUNDLAS, KULMEET (PRESIDENT)