Shriners Hospitals for Children

Shriners Hospitals for Children was paid $923K by Medicaid between Jan 2018 and Oct 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoSHRINERS HOSPITALS FOR CHILDREN
SACRAMENTO, CA 95817

33aNPI1679915565assigned 07/22/2013

33bProvider typePlastic and Reconstructive Surgery Physician

28Total paid$923K

24GClaims38,609

24DCodes billed40

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Plastic and Reconstructive Surgery Physician providers in California

Rank by total paid#4 of 21

Median peer was paid$20K

This provider vs. median45×

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	2,300	$29K
2019	6,409	$129K
2020	7,101	$188K
2021	6,613	$202K
2022	6,118	$151K
2023	8,482	$216K
2024incomplete	1,586	$7K

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	64%	13,433	12,668	$588K
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	9.3%	974	908	$85K
72082		7.2%	4,038	3,801	$67K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.6%	1,883	1,851	$61K
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	3.2%	465	458	$30K
0760		1.8%	5,033	4,652	$17K
0761		1.6%	1,200	1,141	$15K
72170		<1%	1,128	1,091	$8K
77073		<1%	444	421	$6K
76000		<1%	1,022	969	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	133	107	$5K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	1,282	497	$5K

28 more codes

73120		<1%	679	$4K
76770		<1%	108	$4K
29450		<1%	49	$4K
97039		<1%	1,995	$3K
73090		<1%	831	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	213	$2K
97161		<1%	359	$2K
72081		<1%	131	$2K
74018		<1%	166	$1K
73620		<1%	234	$1K
73110		<1%	206	$737.68
77072		<1%	71	$644.47
73100		<1%	168	$601.16
73560		<1%	93	$562.66
73564		<1%	65	$457.53
73080		<1%	83	$446.77
73140		<1%	161	$359.58
73600		<1%	37	$240.85
73590		<1%	43	$232.06
73610		<1%	27	$144.07
73630		<1%	17	$83.38
97139		<1%	125	$63.57
97010		<1%	30	$34.08
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	0%	169	$0.00
0510		0%	322	$0.00
99199	Unlisted special service, procedure or report	0%	815	$0.00
99499		0%	364	$0.00
25600		0%	13	$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 officialBRYAN, MARGARET (ADMINISTRATOR)