Physician
Shawn P Todd DO PA
Shawn P Todd DO PA was paid $9K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoSHAWN P TODD DO PA
LUFKIN, TX 75901
LUFKIN, TX 75901
33aNPI1326422791assigned 07/16/2015
33bProvider typeUrology Physician
28Total paid$9K
24GClaims2,681
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Urology Physician providers in Texas
Rank by total paid#17 of 49
Median peer was paid$2K
This provider vs. median5.9×
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 | 502 | $2K | |
| 2019 | 176 | $2K | |
| 2020 | 429 | $1K | |
| 2021 | 518 | $743.56 | |
| 2022 | 391 | $913.63 | |
| 2023 | 476 | $2K | |
| 2024incomplete | 189 | $927.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 82% | 1,082 | 994 | $7K |
| 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 | 13% | 65 | 63 | $1K |
| 51798 | 5.1% | 433 | 406 | $457.50 | |
| 81000 | <1% | 290 | 260 | $18.60 | |
| 1036F | 0% | 97 | 93 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 41 | 41 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 49 | 47 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 12 | 12 | $0.00 |
| 1111F | 0% | 54 | 51 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | 12 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13 | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 421 | 363 | $0.00 |
3 more codes
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 33 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 30 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 49 | $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 officialLUKER, STACIA (OFFICE MANAGER)