Shields, Keith

Shields, Keith was paid $97K by Medicaid between Mar 2020 and Oct 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoSHIELDS, KEITH
CUMBERLAND, RI 02864

33aNPI1265972350assigned 03/08/2017

33bProvider typePhysician Assistant

28Total paid$97K

24GClaims2,708

24DCodes billed19

24AFirst – last monthMar 2020 – Oct 2024

Compared with peers

Next to other Physician Assistant providers in Rhode Island

Rank by total paid#37 of 215

Median peer was paid$17K

This provider vs. median5.7×

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
2020	401	$11K
2021	1,026	$33K
2022	653	$23K
2023	423	$17K
2024incomplete	205	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	41%	612	577	$40K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	572	492	$26K
80061	Lipid panel	8.6%	278	265	$8K
84443	Thyroid stimulating hormone (TSH)	6.5%	171	160	$6K
80053	Comprehensive metabolic panel	6.3%	283	268	$6K
85027		2.5%	167	154	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.9%	30	28	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	46	39	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.5%	24	24	$1K
97804		1.0%	125	115	$1K
93000		<1%	44	43	$607.51
99442		<1%	21	15	$512.21

7 more codes

81001		<1%	45	$437.14
99401		<1%	15	$328.13
96127		<1%	75	$210.10
36415	Collection of venous blood by venipuncture	<1%	47	$196.07
94760		<1%	39	$62.75
1036F		<1%	79	$19.57
3008F		<1%	35	$0.26

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.