SH Medical Group
SH Medical Group was paid $1.90M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoSH MEDICAL GROUP
HAUGHTON, LA 71037
HAUGHTON, LA 71037
33aNPI1407307887assigned 10/20/2016
33bProvider typeSpecialist
28Total paid$1.90M
24GClaims46,078
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#23 of 228
Median peer was paid$60K
This provider vs. median32×
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 | 5,358 | $191K | |
| 2019 | 5,520 | $200K | |
| 2020 | 4,543 | $184K | |
| 2021 | 6,928 | $342K | |
| 2022 | 8,222 | $404K | |
| 2023 | 8,675 | $321K | |
| 2024incomplete | 6,832 | $256K |
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 | 32% | 10,098 | 8,859 | $612K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 25% | 4,697 | 3,856 | $467K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 8,265 | 7,461 | $335K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.0% | 2,834 | 2,631 | $170K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 2,790 | 2,526 | $71K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.5% | 847 | 783 | $67K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 658 | 608 | $41K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 3,935 | 3,348 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 2,531 | 2,294 | $33K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 1,285 | 1,189 | $24K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,078 | 1,884 | $13K |
| 87807 | <1% | 915 | 758 | $10K |
19 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 139 | $8K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 147 | $3K |
| 92551 | <1% | 317 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 111 | $1K |
| 99177 | <1% | 296 | $450.28 | |
| 99173 | <1% | 261 | $393.10 | |
| 83655 | <1% | 38 | $264.88 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 103 | $197.89 |
| 96127 | <1% | 29 | $130.94 | |
| 99051 | <1% | 19 | $107.04 | |
| 36416 | <1% | 1,987 | $52.62 | |
| 90647 | 0% | 65 | $0.00 | |
| 90674 | 0% | 442 | $0.00 | |
| 90723 | 0% | 30 | $0.00 | |
| 90686 | 0% | 961 | $0.00 | |
| 90677 | 0% | 43 | $0.00 | |
| 90670 | 0% | 56 | $0.00 | |
| 90671 | 0% | 87 | $0.00 | |
| 90633 | 0% | 14 | $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 officialSPARKS, STACEY (CO OWNER)