Medicaid Provider Spending

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

SHAWN P TODD DO PA

NPI: 1326422791 · LUFKIN, TX 75901 · Urology Physician · NPI assigned 07/16/2015

$9K
Total Medicaid Paid
2,681
Total Claims
2,462
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLUKER, STACIA (OFFICE MANAGER)
NPI Enumeration Date07/16/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 502 $2K
2019 176 $2K
2020 429 $1K
2021 518 $743.56
2022 391 $913.63
2023 476 $2K
2024 189 $927.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,082 994 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65 63 $1K
51798 433 406 $457.50
81000 290 260 $18.60
1036F 97 93 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 41 41 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 49 47 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00
1111F 54 51 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 12 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 421 363 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 33 30 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 30 29 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 49 48 $0.00