Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Shannon Clinic

Shannon Clinic was paid $26.16M by Medicaid between Jan 2018 and Dec 2024, across 256 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoSHANNON CLINIC
SAN ANGELO, TX 76903
33aNPI1770587149assigned 06/13/2005
28Total paid$26.16M
24GClaims781,458
24DCodes billed256
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in Texas

Rank by total paid#1 of 62
Median peer was paid$91K
This provider vs. median289×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201815,262$131K
201916,225$152K
202042,543$861K
2021203,316$5.92M
2022207,932$7.76M
2023188,285$7.37M
2024incomplete107,895$3.96M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 118,156 102,390 $5.29M
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 19% 88,339 82,356 $4.94M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.8% 23,586 20,544 $1.78M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.1% 20,084 19,715 $1.60M
87428 5.8% 30,936 29,615 $1.53M
90460 Immunization administration through 18 years of age via any route, first or only component 4.3% 104,014 45,794 $1.13M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.1% 12,655 12,432 $1.06M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.7% 15,695 15,259 $960K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.4% 19,668 19,095 $885K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.2% 15,522 13,424 $576K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.2% 6,584 6,470 $571K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.7% 8,203 8,019 $444K
244 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 31,303 $383K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 12,184 $371K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.3% 4,633 $345K
99204 Doctor's office visit, new patient (more involved) 1.1% 2,579 $291K
99232 Hospital visit by a doctor, follow-up day <1% 9,826 $253K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 1,152 $236K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 303 $227K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 5,411 $157K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,918 $144K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,500 $133K
99203 Doctor's office visit, new patient (routine) <1% 1,580 $117K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,809 $116K
90461 <1% 27,717 $114K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,492 $109K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 4,373 $107K
99429 <1% 3,176 $101K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,822 $99K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,783 $85K
99215 Doctor's office visit, returning patient (complex) <1% 844 $84K
70450 Computed tomography, head or brain; without contrast material <1% 4,411 $80K
71045 Radiologic examination, chest; single view <1% 19,408 $77K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 9,456 $75K
76819 Fetal biophysical profile; without non-stress testing <1% 1,286 $71K
99239 Hospital discharge day management, more than 30 minutes <1% 1,439 $70K
90791 Psychiatric diagnostic evaluation <1% 649 $70K
99238 Hospital discharge day management, 30 minutes or less <1% 1,195 $69K
71046 Radiologic examination, chest; 2 views <1% 5,498 $66K
0002A <1% 2,597 $62K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,115 $58K
0001A <1% 2,735 $57K
99223 Prolong inpt eval add15 m <1% 690 $43K
90832 Psychotherapy session, about 30 minutes <1% 882 $43K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,207 $36K
88307 <1% 576 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,622 $33K
87807 <1% 3,239 $33K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 156 $29K
59430 <1% 329 $27K
96131 <1% 313 $26K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,913 $26K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 370 $26K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 192 $26K
99460 <1% 344 $26K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 474 $24K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 733 $23K
73630 <1% 1,362 $23K
96130 <1% 341 $23K
99442 <1% 761 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 757 $21K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 403 $21K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 743 $20K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,027 $18K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 879 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 306 $18K
73110 <1% 660 $17K
73610 <1% 762 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,066 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 123 $15K
0071A <1% 359 $15K
99423 <1% 490 $14K
00170 Anesthesia for intraoral procedures, including biopsy <1% 87 $14K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,048 $14K
81002 <1% 4,810 $14K
88304 <1% 1,565 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 306 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 243 $13K
74018 <1% 964 $12K
0072A <1% 312 $12K
73564 <1% 469 $12K
96136 <1% 624 $12K
90686 <1% 15,911 $12K
73130 <1% 523 $11K
76830 Ultrasound, transvaginal <1% 201 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,795 $10K
99244 Office or other outpatient consultation, moderate to high complexity <1% 77 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 4,738 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 740 $9K
76801 <1% 110 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 163 $8K
93000 <1% 938 $8K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 13 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,939 $7K
76770 <1% 290 $7K
64615 <1% 91 $7K
87800 <1% 202 $7K
0004A <1% 562 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 268 $6K
0054A <1% 230 $6K
80053 Comprehensive metabolic panel <1% 3,464 $6K
86780 <1% 729 $5K
92567 <1% 440 $5K
76642 <1% 248 $5K
96160 <1% 3,050 $5K
59025 Fetal non-stress test <1% 161 $5K
90715 <1% 235 $5K
85610 <1% 2,794 $4K
84443 Thyroid stimulating hormone (TSH) <1% 553 $4K
90837 Psychotherapy session, about an hour <1% 43 $4K
99222 Initial hospital care, per day, moderate complexity <1% 91 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 576 $3K
95117 <1% 478 $3K
80061 Lipid panel <1% 750 $3K
0052A <1% 80 $3K
90682 <1% 65 $3K
0051A <1% 79 $3K
86850 <1% 431 $3K
96380 <1% 166 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 179 $3K
90677 <1% 3,217 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 53 $3K
72100 <1% 111 $2K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 14 $2K
88342 <1% 150 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 256 $2K
84439 <1% 460 $2K
73030 <1% 134 $2K
84481 <1% 289 $2K
99221 <1% 25 $2K
95819 <1% 50 $2K
81025 <1% 248 $2K
99443 <1% 27 $2K
92015 Determination of refractive state <1% 164 $2K
96116 <1% 32 $2K
93271 <1% 12 $1K
94729 <1% 47 $1K
76820 <1% 43 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 39 $1K
99201 <1% 73 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 136 $1K
90656 <1% 1,637 $1K
17110 <1% 14 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 25 $960.42
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 301 $959.33
86762 <1% 83 $947.57
81001 <1% 1,338 $945.49
94726 <1% 30 $907.97
96137 <1% 37 $905.48
90961 <1% 75 $872.43
88142 <1% 55 $841.81
90935 Hemodialysis procedure with single evaluation by a physician <1% 73 $825.38
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 26 $807.32
90834 Psychotherapy session, about 45 minutes <1% 18 $682.71
99407 <1% 32 $659.12
82728 <1% 68 $651.49
86803 <1% 66 $648.73
92557 <1% 26 $609.85
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 12 $583.80
92134 <1% 36 $550.74
94618 <1% 27 $547.27
0003A <1% 38 $544.00
99462 <1% 13 $513.52
90480 <1% 16 $504.00
80050 General health panel <1% 19 $498.44
87340 <1% 304 $478.36
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 28 $445.48
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 259 $420.98
70551 Magnetic resonance imaging, brain; without contrast material <1% 12 $417.77
87070 <1% 49 $379.88
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 26 $375.26
82043 <1% 203 $352.62
87150 <1% 14 $347.33
94060 <1% 12 $331.76
81000 <1% 234 $331.64
73080 <1% 13 $310.07
76536 <1% 13 $282.12
0012A <1% 67 $265.45
83516 <1% 32 $248.60
88302 <1% 30 $247.33
90671 <1% 491 $231.36
93272 <1% 12 $224.33
92551 <1% 57 $216.27
86900 <1% 85 $199.07
86901 <1% 84 $196.43
69210 <1% 13 $193.71
0011A <1% 77 $193.53
93296 <1% 29 $170.80
J1040 Injection, methylprednisolone acetate, 80 mg <1% 43 $144.67
73502 <1% 15 $143.92
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 79 $126.00
82947 <1% 52 $124.65
93297 <1% 12 $119.78
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 13 $115.10
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 66 $95.36
80069 <1% 65 $64.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 23 $61.74
90672 <1% 380 $57.26
83970 <1% 24 $38.52
85027 <1% 1,467 $37.98
82570 <1% 37 $35.49
83880 <1% 14 $35.20
80305 <1% 69 $27.59
84156 <1% 36 $25.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 32 $20.94
87040 <1% 191 $18.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 53 $13.61
99152 <1% 17 $9.83
77080 <1% 64 $7.75
86592 <1% 2,031 $7.54
84703 <1% 73 $6.64
85018 <1% 2,133 $4.18
85014 <1% 2,108 $4.18
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 25 $4.00
82962 <1% 1,641 $3.00
83690 <1% 93 $1.22
91305 <1% 40 $0.03
90723 0% 6,590 $0.00
36415 Collection of venous blood by venipuncture 0% 5,175 $0.00
90647 0% 2,596 $0.00
90651 0% 670 $0.00
90697 0% 438 $0.00
90716 0% 63 $0.00
96127 0% 733 $0.00
G0008 Administration of influenza virus vaccine 0% 197 $0.00
90680 0% 407 $0.00
99024 0% 56 $0.00
90620 0% 60 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 0% 414 $0.00
90698 0% 316 $0.00
90660 0% 40 $0.00
90381 0% 38 $0.00
90696 0% 38 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 0% 37 $0.00
90619 0% 12 $0.00
83735 0% 35 $0.00
99441 0% 31 $0.00
82607 0% 15 $0.00
97804 0% 12 $0.00
80048 Basic metabolic panel (calcium, ionized) 0% 17 $0.00
90670 0% 9,302 $0.00
90633 0% 2,788 $0.00
90681 0% 2,543 $0.00
90648 0% 5,451 $0.00
85007 0% 343 $0.00
90710 0% 1,247 $0.00
90734 0% 433 $0.00
82247 0% 782 $0.00
90700 0% 76 $0.00
90707 0% 64 $0.00
91300 0% 44 $0.00
99177 0% 69 $0.00
99173 0% 31 $0.00
90662 0% 28 $0.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 0% 24 $0.00
90380 0% 12 $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 officialVILLARREAL, RICARDO (COO)
Same official

Other billing entities under VILLARREAL, RICARDO

Full network →
ProviderLocationPaid
Shannon ClinicOzona, TX$280K
Shannon ClinicSan Angelo, TX$373.12

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.