Physician
Sherman MD Provider INC
Sherman MD Provider INC was paid $849K by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSHERMAN MD PROVIDER INC
SHERMAN, TX 75092
SHERMAN, TX 75092
33aNPI1841696846assigned 11/18/2014
33bProvider typePediatrics Physician
28Total paid$849K
24GClaims27,794
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#403 of 1,136
Median peer was paid$329K
This provider vs. median2.6×
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 | 831 | $9K | |
| 2019 | 365 | $4K | |
| 2020 | 1,569 | $46K | |
| 2021 | 9,522 | $305K | |
| 2022 | 8,187 | $246K | |
| 2023 | 5,030 | $168K | |
| 2024incomplete | 2,290 | $73K |
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 | 34% | 7,997 | 6,244 | $287K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,118 | 1,114 | $94K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,008 | 1,004 | $91K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 939 | 929 | $75K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.2% | 706 | 705 | $69K |
| 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 | 4.2% | 1,006 | 939 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 2,592 | 2,578 | $28K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 2,768 | 1,627 | $25K |
| 99460 | 2.3% | 242 | 239 | $20K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.0% | 28 | 28 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 252 | 246 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 555 | 548 | $14K |
59 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 1.4% | 188 | $12K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.2% | 98 | $11K |
| 59430 | 1.0% | 81 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 753 | $7K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 50 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 328 | $5K |
| 90474 | <1% | 498 | $4K | |
| 99462 | <1% | 100 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 53 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 97 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 216 | $3K |
| 99000 | <1% | 309 | $3K | |
| 99383 | <1% | 47 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 160 | $2K |
| 99384 | <1% | 16 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 97 | $1K |
| 90715 | <1% | 64 | $643.15 | |
| 90473 | <1% | 58 | $539.24 | |
| 20610 | <1% | 22 | $454.54 | |
| 99382 | <1% | 15 | $303.86 | |
| 87807 | <1% | 24 | $283.80 | |
| 90674 | <1% | 12 | $270.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 59 | $239.86 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 18 | $44.08 |
| 81003 | <1% | 14 | $24.01 | |
| 90461 | <1% | 17 | $6.81 | |
| 96127 | <1% | 13 | $3.96 | |
| 96160 | <1% | 15 | $2.25 | |
| 90697 | <1% | 328 | $1.23 | |
| 90619 | <1% | 39 | $0.07 | |
| 90677 | <1% | 27 | $0.06 | |
| 90686 | <1% | 989 | $0.03 | |
| 90651 | <1% | 146 | $0.02 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 252 | $0.01 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 70 | $0.01 |
| 90680 | 0% | 408 | $0.00 | |
| 90698 | 0% | 161 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| 90744 | 0% | 72 | $0.00 | |
| 1036F | 0% | 275 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 52 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 13 | $0.00 |
| 90716 | 0% | 12 | $0.00 | |
| 90670 | 0% | 778 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 251 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 398 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 128 | $0.00 |
| 90633 | 0% | 202 | $0.00 | |
| 90648 | 0% | 40 | $0.00 | |
| 90672 | 0% | 78 | $0.00 | |
| 90681 | 0% | 44 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 217 | $0.00 |
| 87210 | 0% | 13 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90734 | 0% | 92 | $0.00 | |
| 4004F | 0% | 14 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 90707 | 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 officialSARRAO, MICHAEL (EXECUTIVE VICE PRESIDENT)
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| Alecto Healthcare Services Wheeling LLC | Wheeling, WV | $6.00M |
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| FRMC Physicians, INC. | Fairmont, WV | $816K |
| Alecto Healthcare Services Martins Ferry LLC | Martins Ferry, OH | $194K |
| Prime Healthcare Services Pampa LLC | Pampa, TX | $14K |
| Prime Healthcare Services Pampa LLC | Pampa, TX | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.