Ferguson, Shawn

Ferguson, Shawn was paid $59K by Medicaid between Sep 2019 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoFERGUSON, SHAWN
LEWISTON, NY 14092

33aNPI1922071521assigned 02/13/2006

33bProvider typePediatrics Physician

28Total paid$59K

24GClaims1,731

24DCodes billed6

24AFirst – last monthSep 2019 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#775 of 1,983

Median peer was paid$17K

This provider vs. median3.5×

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
2019	89	$2K
2020	409	$9K
2021	218	$4K
2022	290	$12K
2023	410	$19K
2024incomplete	315	$13K

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	71%	806	747	$42K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	355	313	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.5%	451	390	$4K
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	6.2%	42	41	$4K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	13	12	$583.57
90686		0%	64	64	$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.