Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sheridan Healthcare of Texas PA

Sheridan Healthcare of Texas PA was paid $11.32M by Medicaid between Jul 2018 and Dec 2024, across 16 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 65% of everything it billed.

33Billing provider infoSHERIDAN HEALTHCARE OF TEXAS PA
LEWISVILLE, TX 75057
33aNPI1427031541assigned 11/22/2005
28Total paid$11.32M
24GClaims106,859
24DCodes billed16
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Texas

Rank by total paid#3 of 37
Median peer was paid$139K
This provider vs. median82×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DROZDOW, GILBERT controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201812$456.48
201913$494.52
20206,072$411K
202131,675$3.23M
202221,233$2.32M
202327,076$2.67M
2024incomplete20,778$2.68M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 65% 33,226 9,637 $7.35M
99479 Subsequent intensive care, per day, very low birth weight infant 10.0% 16,166 5,375 $1.13M
99480 Subsequent intensive care, per day, low birth weight infant 9.4% 15,321 5,329 $1.06M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 5.9% 2,662 613 $665K
99238 Hospital discharge day management, 30 minutes or less 2.5% 9,716 7,758 $283K
99460 2.3% 6,911 5,704 $263K
99468 2.0% 640 442 $225K
92650 1.6% 15,823 12,957 $180K
99462 <1% 3,594 2,657 $65K
99464 <1% 986 781 $39K
99477 <1% 244 164 $32K
99465 <1% 135 93 $9K
4 more codes
99463 <1% 127 $7K
99239 Hospital discharge day management, more than 30 minutes <1% 116 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 146 $3K
92586 <1% 1,046 $195.24

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 officialDROZDOW, GILBERT (PRESIDENT)
Same official

Other billing entities under DROZDOW, GILBERT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.