SHERRI STONE BARCLAY, M.D.
NPI 1154381259, individual, Sulphur Springs, TX, Pediatrics
- Hours beyond a day in 1 month, but with up to 1571 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 25.4 | 18.6 | 12.4 | 16.9 | 1571 | 1 | 96112 99202 99203 99211 99212 99213 99214 99215 99238 | $65K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHERRI STONE BARCLAY, M.D. (also SHERRI DRAYER) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | March 24, 2006, last updated January 23, 2017 |
| Practice location | 1317 N. HILLCREST, Sulphur Springs, TX 75482, 903-438-1110 |
| Specialties | Pediatrics (208000000X, primary, license K7145 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.5M | 21% | $40 | $44 (top 5% from $110) | 43rd percentile | |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | $784K | 11% | $142 | $114 (top 5% from $186) | 80th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $588K | 8% | $50 | $60 (top 5% from $133) | 37th percentile | |
| 99392 | Medicaid service code | $554K | 8% | $73 | $78 (top 5% from $124) | 42nd percentile | |
| 99393 | Medicaid service code | $529K | 8% | $77 | $78 (top 5% from $121) | 50th percentile | |
| 99391 | Medicaid service code | $405K | 6% | $73 | $76 (top 5% from $126) | 44th percentile | |
| 99394 | Medicaid service code | $391K | 6% | $84 | $83 (top 5% from $128) | 52nd percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $340K | 5% | $22 | $28 (top 5% from $147) | 37th percentile |
In this area
2 providers in Hopkins County, TX carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AMATUS HEALTH CARE EAST TEXAS INC Sulphur Springs, TX, ranked 3990 | $0 |
|
| 3 | NORTHEAST TEXAS HOME HEALTH AGENCY, LTD Sulphur Springs, TX, ranked 4857 | $0 |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.