Agency
Super Shot INC.
Super Shot INC. was paid $1.59M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 46% of everything it billed.
33Billing provider infoSUPER SHOT INC.
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
33aNPI1427373372assigned 04/05/2010
33bProvider typePublic Health or Welfare Agency
28Total paid$1.59M
24GClaims217,787
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in Indiana
Rank by total paid#4 of 53
Median peer was paid$64K
This provider vs. median25×
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 | 31,258 | $147K | |
| 2019 | 35,435 | $137K | |
| 2020 | 35,218 | $276K | |
| 2021 | 29,660 | $278K | |
| 2022 | 35,779 | $349K | |
| 2023 | 26,170 | $210K | |
| 2024incomplete | 24,267 | $189K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 46% | 31,068 | 26,343 | $736K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 30% | 43,038 | 36,508 | $480K |
| 90473 | 12% | 14,661 | 13,187 | $190K | |
| 0071A | 2.6% | 1,732 | 1,208 | $42K | |
| 0072A | 2.3% | 1,495 | 1,037 | $36K | |
| 90474 | 1.3% | 1,401 | 1,264 | $20K | |
| 0001A | 1.2% | 972 | 693 | $19K | |
| 0002A | 1.0% | 839 | 599 | $17K | |
| 0003A | <1% | 443 | 336 | $12K | |
| 0124A | <1% | 364 | 224 | $7K | |
| 90480 | <1% | 1,118 | 589 | $6K | |
| 0154A | <1% | 210 | 134 | $5K |
40 more codes
| 0073A | <1% | 90 | $3K | |
| 90651 | <1% | 8,332 | $2K | |
| 0111A | <1% | 72 | $2K | |
| 0081A | <1% | 63 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 142 | $1K |
| 90716 | <1% | 3,376 | $778.17 | |
| 90658 | <1% | 3,308 | $659.38 | |
| 90670 | <1% | 8,631 | $555.99 | |
| 0112A | <1% | 25 | $553.50 | |
| 0151A | <1% | 15 | $545.30 | |
| 0082A | <1% | 15 | $516.60 | |
| 0173A | <1% | 13 | $467.40 | |
| 90734 | <1% | 5,216 | $355.75 | |
| 90723 | <1% | 6,528 | $262.00 | |
| 90715 | <1% | 7,050 | $261.21 | |
| 90647 | <1% | 7,019 | $250.00 | |
| 90686 | <1% | 4,170 | $246.76 | |
| 90707 | <1% | 3,369 | $239.08 | |
| 90621 | <1% | 619 | $216.60 | |
| 90680 | <1% | 4,424 | $165.00 | |
| 90656 | <1% | 2,801 | $159.86 | |
| 90620 | <1% | 3,547 | $156.60 | |
| 91320 | <1% | 318 | $143.59 | |
| 90633 | <1% | 9,762 | $120.00 | |
| 91319 | <1% | 443 | $120.00 | |
| 90710 | <1% | 4,752 | $52.00 | |
| 90696 | <1% | 3,757 | $40.00 | |
| 90700 | <1% | 2,853 | $20.00 | |
| 90671 | <1% | 2,083 | $15.00 | |
| 90672 | 0% | 7,650 | $0.00 | |
| 90713 | 0% | 1,036 | $0.00 | |
| 90681 | 0% | 33 | $0.00 | |
| 90744 | 0% | 688 | $0.00 | |
| 90619 | 0% | 5,329 | $0.00 | |
| 90660 | 0% | 8,950 | $0.00 | |
| 91318 | 0% | 245 | $0.00 | |
| 90381 | 0% | 185 | $0.00 | |
| 90697 | 0% | 2,721 | $0.00 | |
| 90657 | 0% | 800 | $0.00 | |
| 90378 | 0% | 16 | $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 officialHEFLIN, CONNIE (EXECUTIVE DIRECTOR)