Physician
Stephen R. Shea, M.D., INC.
Stephen R. Shea, M.D., INC. was paid $2.92M by Medicaid between Jan 2018 and Jun 2020, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 39% of everything it billed.
33Billing provider infoSTEPHEN R. SHEA, M.D., INC.
LONG BEACH, CA 90813
LONG BEACH, CA 90813
33aNPI1326079872assigned 07/05/2006
33bProvider typeEmergency Medicine Physician
28Total paid$2.92M
24GClaims73,508
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#151 of 988
Median peer was paid$32K
This provider vs. median92×
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 | 28,105 | $1.01M | |
| 2019 | 33,284 | $1.34M | |
| 2020 | 12,119 | $574K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 39% | 17,217 | 16,823 | $1.13M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 35% | 23,078 | 22,681 | $1.04M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 18,737 | 18,303 | $528K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.8% | 1,439 | 1,390 | $140K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.1% | 11,111 | 9,902 | $91K |
| 71045 | Radiologic examination, chest; single view | <1% | 277 | 272 | $1K |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 330 | 307 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 236 | 216 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 738 | 598 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 345 | 292 | $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 officialSHEA, STEPHEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Stephen R Shea, M.D., INC | San Pedro, CA | $2.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.