SHANE SPARKS, M.D.
NPI 1306032438, individual, Little Rock, AR, Psychiatry & Neurology, Psychiatry
- Hours beyond a day in 5 months, but with up to 162 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 90833 ($152 per patient-month) sit in the top 5% of every provider billing that code.
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 |
|---|---|---|---|---|---|---|---|---|---|
| May 2019 | More hours than a day holds, even counting one unit per claim line | 31.8 | 10.0 | 6.7 | 9.0 | 138 | 1 | 90833 99223 99233 99238 | $15K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 35.0 | 12.2 | 8.1 | 12.2 | 139 | 1 | 90833 99223 99233 99238 | $18K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 38.2 | 14.7 | 9.8 | 13.2 | 151 | 1 | 90833 99223 99233 99238 | $22K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 36.9 | 14.5 | 9.7 | 13.6 | 142 | 1 | 90833 99223 99233 99238 | $22K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 27.7 | 14.2 | 9.5 | 13.5 | 135 | 1 | 90833 99223 99233 99238 | $21K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHANE SPARKS, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | September 21, 2007, last updated December 13, 2016 |
| Practice location | 2 SAINT VINCENT CIR, Little Rock, AR 72205-5423, 501-686-8000 |
| Mailing address | 1725 CENTENNIAL CLUB DR, Conway, AR 72034-8194 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license E-6553 AR) Psychiatry & Neurology, Addiction Psychiatry (2084P0802X, license E-6553 AR) |
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 | |
|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $403K | 47% | $189 | $96 (top 5% from $249) | 88th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $330K | 38% | $152 | $49 (top 5% from $109) | 98th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $96K | 11% | $131 | $81 (top 5% from $170) | 86th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $33K | 4% | $48 | $48 (top 5% from $80) | 50th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $3K | 0% | $89 | $67 (top 5% from $174) | too few months to rank |
In this area
8 providers in Pulaski County, AR carry an indicator in the public record, with $19.5M at stake between them. The most common is more hours than a day holds, on 6 of them, followed by named in an enforcement record on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | KRAMEELAH BANKS Little Rock, AR, ranked 2462 | $0 |
|
| 3 | ARKANSAS BEHAVIORAL CENTER (ABC), LLC Little Rock, AR, ranked 5190 | $0 |
|
| 4 | CARL RIDDELL Little Rock, AR, ranked 7402 | $7.3M |
|
| 4 | NAVEEN PATIL Little Rock, AR, ranked 7428 | $5.9M |
|
| 4 | LAWRENCE LABBATE Little Rock, AR, ranked 7599 | $2.7M |
|
| 4 | BRIAN SIMPSON Little Rock, AR, ranked 7646 | $2.3M |
|
| 4 | NKECHI UGWUH-MOSS Little Rock, AR, ranked 9584 | $81K |
|
| 5 | JOHN DOWNES Little Rock, AR, ranked 10047 | $1.3M |
|
Recent enforcement in AR
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.