Shea, Roger

Shea, Roger was paid $1.03M by Medicaid between Jan 2019 and Aug 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoSHEA, ROGER
SARASOTA, FL 34233

33aNPI1639128416assigned 05/09/2006

33bProvider typePediatric Otolaryngology Physician

28Total paid$1.03M

24GClaims13,834

24DCodes billed19

24AFirst – last monthJan 2019 – Aug 2024

Compared with peers

Next to other Pediatric Otolaryngology Physician providers in Florida

Rank by total paid#6 of 16

Median peer was paid$463K

This provider vs. median2.2×

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
2019	2,606	$233K
2020	2,041	$136K
2021	2,267	$173K
2022	2,591	$182K
2023	3,735	$274K
2024incomplete	594	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	2,666	2,533	$268K
99243		20%	1,024	996	$205K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	759	743	$111K
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	11%	867	828	$108K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	9.5%	438	431	$97K
92504		6.5%	2,391	2,236	$67K
92588		3.8%	1,462	1,407	$39K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	3.7%	134	133	$38K
92567		2.9%	2,193	2,106	$30K
69210		2.6%	1,077	1,033	$27K
92579		<1%	218	213	$9K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	32	32	$9K

7 more codes

92557		<1%	299	$6K
42820	Tonsillectomy and adenoidectomy; younger than age 12	<1%	13	$5K
99242		<1%	18	$5K
92552		<1%	143	$2K
41010		<1%	16	$2K
92555		<1%	70	$845.76
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	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.