Reathaford, Shawn

Reathaford, Shawn was paid $105K by Medicaid between Jan 2018 and Sep 2022, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 66% of everything it billed.

33Billing provider infoREATHAFORD, SHAWN
SAINT LOUIS, MO 63108

33aNPI1669572343assigned 09/23/2006

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$105K

24GClaims2,141

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Missouri

Rank by total paid#9 of 47

Median peer was paid$22K

This provider vs. median4.8×

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	497	$41K
2019	562	$18K
2020	284	$10K
2021	435	$19K
2022	363	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	66%	1,504	1,373	$69K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	301	278	$22K
99282	Emergency department visit for the evaluation and management, low to moderate severity	8.8%	318	304	$9K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	4.1%	18	18	$4K

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.