Rumack, Shandalla

Rumack, Shandalla was paid $81K by Medicaid between Jul 2024 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

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
2024incomplete	1,733	$81K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	353	336	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	237	208	$15K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	14%	281	272	$11K
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	9.3%	81	81	$8K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	8.9%	316	244	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	5.4%	282	274	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.3%	47	47	$3K
87807		<1%	52	52	$520.09
81002		<1%	66	58	$169.52
81025		<1%	18	13	$106.74

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.