Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › SAN ANGELO › SHANNON MEDICAL CENTER

SHANNON MEDICAL CENTER

NPI: 1992707228 · SAN ANGELO, TX 76903 · Ambulatory Surgical Clinic/Center · NPI assigned 05/31/2005

$9.99M
Total Medicaid Paid
321,706
Total Claims
290,347
Beneficiaries
197
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKIRKHAM, PATRICIA (BILLING SUPERVISOR)
NPI Enumeration Date05/31/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 667 $59K
2021 84,481 $2.14M
2022 104,287 $3.52M
2023 82,550 $3.26M
2024 49,721 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 15,751 14,775 $4.71M
99283 Emergency department visit for the evaluation and management, moderate severity 19,324 18,675 $928K
41899 Unlisted procedure, dentoalveolar structures 373 339 $546K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,122 2,902 $364K
42820 Tonsillectomy and adenoidectomy; younger than age 12 92 89 $337K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4,867 4,658 $285K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,871 4,662 $285K
80053 Comprehensive metabolic panel 29,305 25,868 $234K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31,605 27,414 $211K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,677 2,568 $144K
0202U Oncology (prostate), multianalyte, gene expression profiling 2,793 2,726 $139K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,674 2,603 $115K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 172 151 $109K
87800 1,632 1,566 $108K
84443 Thyroid stimulating hormone (TSH) 9,543 9,247 $89K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,191 1,185 $81K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,238 1,195 $66K
86780 2,800 2,587 $66K
86850 2,276 2,173 $55K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 537 318 $54K
87086 Culture, bacterial; quantitative colony count, urine 6,762 6,210 $44K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,336 1,145 $43K
71045 Radiologic examination, chest; single view 3,266 3,043 $40K
81001 14,710 13,419 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 561 307 $37K
80061 Lipid panel 8,772 8,626 $36K
70450 Computed tomography, head or brain; without contrast material 1,736 1,672 $34K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,822 2,769 $32K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,105 2,817 $31K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 837 820 $30K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 416 413 $29K
84481 2,035 2,002 $27K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,676 4,624 $27K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,021 1,934 $25K
83655 872 865 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,124 1,076 $23K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,489 1,620 $22K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 467 340 $22K
88142 1,273 1,198 $21K
84439 3,642 3,565 $19K
87070 2,200 2,085 $18K
71046 Radiologic examination, chest; 2 views 630 613 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 397 381 $16K
96361 Intravenous infusion, hydration; each additional hour 1,139 946 $16K
84702 987 777 $16K
36415 Collection of venous blood by venipuncture 16,048 13,461 $15K
77067 Screening mammography, bilateral, including computer-aided detection 1,362 1,361 $15K
84703 2,360 2,177 $15K
83036 Hemoglobin; glycosylated (A1C) 5,522 5,412 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material 555 538 $13K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 269 250 $12K
86003 68 58 $12K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 13 13 $12K
77063 Screening digital breast tomosynthesis, bilateral 1,362 1,361 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,773 1,326 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 490 345 $11K
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 92 90 $11K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 356 351 $10K
87486 169 150 $9K
87581 170 151 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,009 1,729 $9K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 211 152 $8K
87150 104 102 $8K
83880 3,270 2,997 $7K
82728 1,514 1,460 $7K
88305 Level IV - Surgical pathology, gross and microscopic examination 747 738 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity 130 126 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,025 694 $6K
83690 2,817 2,579 $5K
84484 3,159 2,660 $5K
81025 822 795 $5K
85027 2,792 2,651 $5K
83970 1,276 1,244 $5K
87340 433 419 $4K
86803 600 590 $4K
82043 2,142 2,122 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 893 840 $4K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 455 429 $4K
86762 143 138 $3K
72125 Computed tomography, cervical spine; without contrast material 264 260 $3K
71250 104 104 $3K
71275 Computed tomographic angiography, chest, with contrast material 63 63 $3K
83735 3,639 3,224 $3K
80048 Basic metabolic panel (calcium, ionized) 2,844 2,553 $3K
84144 51 40 $3K
85379 1,306 1,178 $3K
86901 1,093 1,024 $3K
86900 1,096 1,025 $3K
87186 2,624 2,474 $3K
96375 Therapeutic injection; each additional sequential IV push 1,997 1,677 $2K
82105 160 153 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 457 292 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 65 65 $2K
84145 239 187 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 84 82 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 45 43 $2K
85018 358 353 $2K
82947 209 206 $2K
85610 2,253 2,061 $2K
87507 18 17 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 41 41 $2K
29581 237 94 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 79 79 $2K
83605 1,056 1,000 $2K
77080 346 346 $1K
82077 462 427 $1K
86140 1,190 926 $1K
82607 958 940 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 58 58 $1K
83550 1,387 1,338 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,731 1,523 $1K
84146 337 323 $1K
80164 503 455 $1K
76830 Ultrasound, transvaginal 12 12 $1K
85007 820 724 $1K
87040 372 352 $1K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 25 25 $1K
83540 1,540 1,487 $999.86
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $993.33
87077 1,513 1,454 $991.98
80069 1,674 1,456 $985.75
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 91 91 $911.23
96367 154 112 $902.76
93971 55 54 $869.52
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 57 55 $787.76
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,681 2,346 $776.84
J1885 Injection, ketorolac tromethamine, per 15 mg 1,590 1,364 $746.07
76801 13 13 $686.76
86592 71 68 $677.05
93017 80 80 $668.31
82140 190 165 $663.58
83615 273 199 $648.05
82570 1,861 1,778 $642.63
82550 474 403 $628.94
86787 13 13 $438.08
72131 25 25 $394.11
82746 222 218 $391.82
J7050 Infusion, normal saline solution, 250 cc 105 49 $383.13
85014 65 65 $342.89
85652 775 621 $314.25
82040 597 516 $312.97
87205 252 229 $304.87
85730 180 174 $301.28
84156 1,017 950 $278.52
88342 74 73 $278.04
70486 13 12 $270.85
82150 220 216 $236.53
J2270 Injection, morphine sulfate, up to 10 mg 573 480 $231.91
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 28 28 $230.23
82565 583 550 $227.58
82805 27 27 $215.82
80299 27 26 $172.26
J7120 Ringers lactate infusion, up to 1000 cc 439 373 $171.06
84550 687 675 $168.25
84153 303 297 $166.73
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 66 64 $129.78
80179 29 27 $129.34
80143 30 28 $129.34
J0690 Injection, cefazolin sodium, 500 mg 230 219 $128.78
82274 104 99 $118.24
J1200 Injection, diphenhydramine hcl, up to 50 mg 779 647 $117.40
J2785 Injection, regadenoson, 0.1 mg 38 38 $111.69
J3010 Injection, fentanyl citrate, 0.1 mg 1,018 933 $99.14
84100 374 349 $85.37
J1644 Injection, heparin sodium, per 1000 units 335 213 $84.91
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 70 53 $57.98
84403 25 25 $57.04
82962 2,809 1,953 $47.09
J1170 Injection, hydromorphone, up to 4 mg 74 64 $34.25
J2250 Injection, midazolam hydrochloride, per 1 mg 749 698 $32.44
84436 45 44 $31.45
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 84 78 $30.19
C1769 Guide wire 112 109 $26.38
80354 12 12 $25.62
83001 12 12 $25.45
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $22.56
J1790 Injection, droperidol, up to 5 mg 32 30 $21.26
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 30 27 $18.14
80178 14 13 $16.65
80050 General health panel 13 13 $12.15
J7030 Infusion, normal saline solution , 1000 cc 15 15 $11.46
83883 26 25 $11.42
80197 21 12 $10.95
82248 111 108 $7.85
J1650 Injection, enoxaparin sodium, 10 mg 13 12 $7.28
J2765 Injection, metoclopramide hcl, up to 10 mg 13 13 $3.22
J2060 Injection, lorazepam, 2 mg 14 12 $1.61
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 270 137 $0.00
80177 13 13 $0.00
G0378 Hospital observation service, per hour 39 37 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 13 13 $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 14 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,501 3,065 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 85 80 $0.00
C1780 Lens, intraocular (new technology) 26 26 $0.00
84425 12 12 $0.00
99152 18 18 $0.00