SHUKAIRO MACK BAKER, APRN, PMHNP-BC, LCSW
NPI 1659666444, individual, Rock Hill, SC, Nurse Practitioner, Psych/Mental Health
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- 73% of Medicaid dollars are on codes with a history of abuse.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 27.9 | 41.9 | 27.9 | 37.6 | 360 | 1 | 90791 90834 90837 90846 90847 | $100K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 29.8 | 44.9 | 29.9 | 42.2 | 397 | 1 | 90791 90834 90837 90846 90847 | $106K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHUKAIRO MACK BAKER, APRN, PMHNP-BC, LCSW (also SHUKAIRO TOWNSEND) |
| Type | Individual |
| Status | Active |
| NPI issued | June 9, 2011, last updated May 5, 2026 |
| Practice location | 455 LAKESHORE PKWY, Rock Hill, SC 29730-4205, 803-909-6363 |
| Specialties | Nurse Practitioner, Psych/Mental Health (363LP0808X, license 0024194469 VA) Nurse Practitioner, Psych/Mental Health (363LP0808X, license 890763 NV) Nurse Practitioner, Psych/Mental Health (363LP0808X, license 317733 AZ) Nurse Practitioner, Psych/Mental Health (363LP0808X, license AP70007419 WA) Social Worker, Clinical (1041C0700X, license 11094 SC) Nurse Practitioner, Psych/Mental Health (363LP0808X, license 13998789-4405 UT) Nurse Practitioner, Psych/Mental Health (363LP0808X, license APRN11044782 FL) Nurse Practitioner, Psych/Mental Health (363LP0808X, license 13998789-8900 UT) Social Worker, Clinical (1041C0700X, license C008389 NC) Nurse Practitioner, Psych/Mental Health (363LP0808X, license C-RXN.0102908-C-NP CO) Counselor, Addiction (Substance Use Disorder) (101YA0400X, license C008389 NC) Nurse Practitioner, Psych/Mental Health (363LP0808X, license 31253A SC) Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license 5020242 NC) Nurse Practitioner, Psych/Mental Health (363LP0808X, license 254611 MT) |
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 | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $827K | 73% | $333 | $191 (top 5% from $442) | 88th percentile | |
| 90847 | Family psychotherapy with patient, 50 minutes | $148K | 13% | $140 | $130 (top 5% from $458) | 55th percentile | |
| 90834 | Psychotherapy, 45 minutes | $93K | 8% | $105 | $101 (top 5% from $318) | 52nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $50K | 4% | $156 | $105 (top 5% from $228) | 85th percentile | |
| 90846 | Family psychotherapy without patient, 50 minutes | $14K | 1% | $121 | $113 (top 5% from $277) | too few months to rank | |
| H0031 | Medicaid service code | $2K | 0% | $72 | $100 (top 5% from $540) | too few months to rank | |
| 99366 | Medicaid service code | $1K | 0% | $40 | $32 (top 5% from $426) | too few months to rank | |
| 90832 | Psychotherapy, 30 minutes | $933 | 0% | $49 | $59 (top 5% from $239) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 18 | 18 | $2K | $356 | $139 | 2.6x | 2.2x (90th percentile 3.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
4 providers in York County, SC carry an indicator in the public record, with $2.8M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PROVIDENCE HOME HEALTH Rock Hill, SC, ranked 2161 | $0 |
|
| 3 | PROVIDENCE CARE LLC Rock Hill, SC, ranked 4946 | $0 |
|
| 3 | CARING SEASONS HEALTH, LLC Fort Mill, SC, ranked 7112 | $0 |
|
| 5 | GAURANG SHAH Rock Hill, SC, ranked 10746 | $2.8M |
Recent enforcement in SC
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.