Physician
Andy Shen, M.D., INC.
Andy Shen, M.D., INC. was paid $2.50M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99285, emergency room visit (most serious) — 48% of everything it billed.
33Billing provider infoANDY SHEN, M.D., INC.
ALHAMBRA, CA 91801
ALHAMBRA, CA 91801
33aNPI1457427221assigned 11/25/2006
33bProvider typeEmergency Medicine Physician
28Total paid$2.50M
24GClaims54,545
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#167 of 988
Median peer was paid$32K
This provider vs. median79×
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 | 9,910 | $334K | |
| 2019 | 10,286 | $462K | |
| 2020 | 6,792 | $320K | |
| 2021 | 5,029 | $273K | |
| 2022 | 6,562 | $370K | |
| 2023 | 8,111 | $431K | |
| 2024incomplete | 7,855 | $311K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 48% | 19,227 | 18,702 | $1.21M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 36% | 20,005 | 19,601 | $911K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 11,589 | 11,150 | $364K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 154 | 154 | $14K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 171 | 164 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 486 | 460 | $3K |
| 93042 | <1% | 293 | 293 | $1K | |
| 99053 | <1% | 84 | 83 | $265.36 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 1,244 | 1,176 | $65.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 309 | 297 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 39 | 38 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 160 | 148 | $0.00 |
3 more codes
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 37 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 716 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 31 | $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 officialSHEN, ANDREW (PRESIDENT)