Physician
Shouse, Theresa
Shouse, Theresa was paid $17K by Medicaid between Oct 2020 and Sep 2021, across 10 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 34% of everything it billed.
33Billing provider infoSHOUSE, THERESA
PLANO, TX 75093
PLANO, TX 75093
33aNPI1467406058assigned 05/19/2006
33bProvider typePediatrics Physician
28Total paid$17K
24GClaims960
24DCodes billed10
24AFirst – last monthOct 2020 – Sep 2021
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#876 of 1,136
Median peer was paid$329K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 201 | $2K | |
| 2021 | 759 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 34% | 90 | 86 | $6K |
| 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 | 22% | 84 | 77 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 39 | 38 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 321 | 285 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 31 | 25 | $1K |
| 99000 | 5.7% | 100 | 89 | $993.60 | |
| 90461 | 4.7% | 136 | 127 | $806.15 | |
| 90686 | 0% | 72 | 68 | $0.00 | |
| 90670 | 0% | 72 | 69 | $0.00 | |
| 99188 | 0% | 15 | 15 | $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.