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

Stephen R Shea, M.D., INC

Stephen R Shea, M.D., INC was paid $2.55M by Medicaid between Jan 2018 and Oct 2020, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 43% of everything it billed.

33Billing provider infoSTEPHEN R SHEA, M.D., INC
SAN PEDRO, CA 90732
33aNPI1942239033assigned 07/01/2006
28Total paid$2.55M
24GClaims58,742
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#166 of 988
Median peer was paid$32K
This provider vs. median80×

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$50K$100K$150K2018201920202021202220232024
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
201819,254$689K
201925,233$1.12M
202014,255$739K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 43% 15,339 14,937 $1.10M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 36% 20,668 20,359 $909K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 14,527 14,328 $395K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.9% 6,633 6,180 $75K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.7% 639 607 $69K
71046 Radiologic examination, chest; 2 views <1% 110 110 $692.84
71045 Radiologic examination, chest; single view <1% 149 146 $660.02
99401 <1% 74 71 $529.93
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 263 219 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 340 280 $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 officialSHEA, STEPHEN (OWNER)
Same official

Other billing entities under SHEA, STEPHEN

Full network →
ProviderLocationPaid
Stephen R. Shea, M.D., INC.Long Beach, CA$2.92M

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