SHI TEXAS LLC

NPI: 1710554639 · MESQUITE, TX 75149 · Emergency Medicine Physician · NPI assigned 06/09/2021

$188K

Total Medicaid Paid

4,436

Total Claims

3,814

Beneficiaries

Codes Billed

2021-08

First Month

2022-01

Last Month

Provider Details

Authorized Official	VALDES, RUDDY (PRESIDENT)
NPI Enumeration Date	06/09/2021

Other providers sharing the same authorized official: VALDES, RUDDY

Provider	City	State	Total Paid
SMALL HOSPITAL INNOVATIONS LLC	CLEWISTON	FL	$9.13M
SMALL HOSPITAL INNOVATIONS LLC	LEHIGH ACRES	FL	$744K
SMALL HOSPITAL INNOVATIONS LLC	ARCADIA	FL	$631K
SMALL HOSPITAL INNOVATIONS LLC	MARIANNA	FL	$572K
SHI KEYS LLC	TAVERNIER	FL	$281K
SHI KEYS LLC	MARATHON	FL	$14K
HOSPITAL INNOVATION PHYSICIANS LLC	CLEWISTON	FL	$13K
SHI SPECIALISTS LLC	CLEWISTON	FL	$1K

Year	Claims	Total Paid
2021	4,060	$173K
2022	376	$15K

Code	Description	Claims	Beneficiaries	Total Paid
99284	Emergency department visit for the evaluation and management, high severity	1,243	1,093	$75K
99283	Emergency department visit for the evaluation and management, moderate severity	2,001	1,773	$64K
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	795	652	$47K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	385	284	$1K
99282	Emergency department visit for the evaluation and management, low to moderate severity	12	12	$274.40