Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHEA, ROGER

NPI: 1639128416 · SARASOTA, FL 34233 · Pediatric Otolaryngology Physician · NPI assigned 05/09/2006

$1.03M
Total Medicaid Paid
13,834
Total Claims
13,243
Beneficiaries
19
Codes Billed
2019-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,666 2,533 $268K
99243 1,024 996 $205K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 759 743 $111K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 867 828 $108K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 438 431 $97K
92504 2,391 2,236 $67K
92588 1,462 1,407 $39K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 134 133 $38K
92567 2,193 2,106 $30K
69210 1,077 1,033 $27K
92579 218 213 $9K
99244 Office or other outpatient consultation, moderate to high complexity 32 32 $9K
92557 299 291 $6K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $5K
99242 18 18 $5K
92552 143 131 $2K
41010 16 16 $2K
92555 70 70 $845.76
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 14 13 $0.00