Conner, Shavetta

Conner, Shavetta was paid $4.96M by Medicaid between Jan 2018 and Nov 2020, across 62 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 19% of everything it billed.

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	93,936	$1.82M
2019	105,675	$2.23M
2020	45,381	$909K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	19%	22,797	21,345	$921K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	15%	10,358	9,409	$738K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	12%	9,273	8,892	$588K
99381		7.2%	4,670	4,404	$359K
99401		5.6%	9,788	8,582	$277K
96110	Developmental screening, with scoring and documentation, per standardized instrument	5.4%	25,324	23,555	$269K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	3.2%	2,212	1,856	$158K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	3.2%	481	378	$157K
99402		2.9%	2,927	2,568	$144K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.5%	8,235	7,290	$126K
90651		2.5%	4,736	4,372	$122K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	3,374	2,464	$114K

50 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.3%	1,531	$112K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.0%	1,224	$99K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	2,515	$64K
99214	Doctor's office visit, returning patient (more involved)	1.3%	1,490	$63K
99383		<1%	541	$47K
99384		<1%	482	$46K
81025		<1%	8,679	$45K
92551		<1%	5,623	$40K
99382		<1%	450	$38K
94250		<1%	1,685	$30K
90734		<1%	3,607	$27K
T2028	Specialized supply, not otherwise specified, waiver	<1%	896	$26K
90632		<1%	574	$26K
85018		<1%	9,385	$23K
99203	Doctor's office visit, new patient (routine)	<1%	383	$23K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	3,333	$22K
90715		<1%	3,533	$21K
90716		<1%	4,981	$21K
99177		<1%	2,986	$21K
36416		<1%	10,152	$19K
11981		<1%	212	$19K
96127		<1%	4,663	$18K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	389	$17K
11982		<1%	162	$17K
90746		<1%	373	$15K
36415	Collection of venous blood by venipuncture	<1%	6,651	$12K
99173		<1%	4,046	$11K
90688		<1%	1,540	$11K
87210		<1%	2,639	$9K
90670		<1%	6,343	$9K
90707		<1%	4,857	$7K
99407		<1%	316	$5K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	256	$4K
90472	Immunization administration, each additional vaccine (list separately)	<1%	784	$4K
99071		<1%	1,172	$3K
96160		<1%	328	$3K
99385		<1%	35	$3K
90686		<1%	7,138	$2K
90696		<1%	2,508	$2K
90633		<1%	5,106	$1K
90723		<1%	4,448	$571.84
90681		<1%	2,337	$549.90
90647		<1%	5,125	$410.04
90700		<1%	2,188	$201.42
90713		<1%	71	$29.71
90461		0%	12,653	$0.00
99070		0%	123	$0.00
G0008	Administration of influenza virus vaccine	0%	50	$0.00
90744		0%	32	$0.00
99000		0%	222	$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.