Providers
SHAKEEL RAZA, MD
NPI 1811169501, individual, Pearland, TX, Psychiatry & Neurology, Child & Adolescent Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 2 months, but with up to 71 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 90853 ($1873 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7860, $872K at stake
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 2020 | More hours than a day holds at a conservative unit price | 17.1 | 37.4 | 24.9 | 34.0 | 432 | 1 | 90792 99212 99222 99231 99232 99233 99239 | $55K |
| Dec 2020 | More hours than a day holds at a conservative unit price | 17.7 | 37.0 | 24.7 | 33.3 | 476 | 1 | 90792 99222 99223 99231 99232 99233 99239 | $56K |
| Jan 2021 | More hours than a day holds at a conservative unit price | 22.4 | 47.2 | 31.4 | 46.4 | 615 | 1 | 90792 99213 99222 99223 99231 99232 99233 99239 | $79K |
| Feb 2021 | More hours than a day holds at a conservative unit price | 17.8 | 38.9 | 25.9 | 36.3 | 412 | 1 | 90792 99213 99222 99223 99231 99232 99233 99239 | $58K |
| Mar 2021 | More hours than a day holds at a conservative unit price | 20.1 | 39.1 | 26.1 | 35.2 | 530 | 1 | 90792 99213 99222 99223 99231 99232 99233 99239 | $66K |
| Nov 2022 | More hours than a day holds at a conservative unit price | 2.7 | 46.5 | 31.0 | 42.3 | 36 | 1 | 90791 90853 99213 99221 99222 99231 99232 99308 | $87K |
| Feb 2023 | More hours than a day holds at a conservative unit price | 3.1 | 52.4 | 34.9 | 48.9 | 41 | 1 | 90791 90792 90853 99213 99222 99231 99232 99233 99308 | $91K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHAKEEL RAZA, MD |
| Type | Individual |
| Status | Active |
| NPI issued | April 2, 2008, last updated April 17, 2015 |
| Practice location | 12234 SHADOW CREEK PKWY, BLDG # 4, 4104, Pearland, TX 77584-7330, 713-429-5325 |
| Specialties | Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license P2767 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90853 | Group psychotherapyhistory of abuse | $931K | 35% | $2K | $60 (top 5% from $332) | 100th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $473K | 18% | $110 | $67 (top 5% from $174) | 81st percentile | |
| H0035 | Mental health partial hospitalization less than 24 hours | $320K | 12% | $2K | $1K (top 5% from $3K) | 70th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $220K | 8% | $117 | $96 (top 5% from $249) | 64th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $191K | 7% | $70 | $49 (top 5% from $101) | 76th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $169K | 6% | $82 | $63 (top 5% from $137) | 70th percentile | |
| 90849 | Multiple-family group psychotherapy | $133K | 5% | $947 | $105 (top 5% from $366) | 100th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $98K | 4% | $111 | $112 (top 5% from $313) | 50th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 129 | 48 | $8K | $253 | $78 | 3.3x | 2.6x (90th percentile 4.3x) |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 70 | 66 | $7K | $359 | $130 | 2.8x | 2.7x (90th percentile 4.4x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 17 | 13 | $656 | $182 | $48 | 3.8x | 2.4x (90th percentile 4.0x) |
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 Brazoria County, TX carry an indicator in the public record, with $52K 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 | FORWARD HCG PEARLAND LLC Pearland, TX, ranked 5955 | $0 |
|
| 3 | PINNACLE HOSPICE LLC Pearland, TX, ranked 6118 | $0 |
|
| 3 | FELICA HOSPICE LLC Pearland, TX, ranked 7192 | $0 |
|
| 5 | VICTORIA JOHNSON Pearland, TX, ranked 11746 | $52K |
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
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.