MARK M SHIH, M.D.
NPI 1851366801, individual, Portland, OR, Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
- Hours beyond a day in 1 month, but with up to 446 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 30.8 | 41.7 | 27.8 | 39.1 | 258 | 1 | 92507 92523 92609 97110 97166 97530 97802 99214 | $135K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARK M SHIH, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | February 22, 2006, last updated January 10, 2023 |
| Practice location | 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011, 503-346-0640 |
| Specialties | Pediatrics (208000000X, license MD21938 OR) Physical Medicine & Rehabilitation (208100000X, license MD21938 OR) Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (2081P0010X, primary, license MD21938 OR) |
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 | |
|---|---|---|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | $1.6M | 49% | $173 | $124 (top 5% from $387) | 63rd percentile | |
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $932K | 28% | $120 | $190 (top 5% from $477) | 26th percentile | |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $248K | 7% | $179 | $137 (top 5% from $251) | 83rd percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $151K | 4% | $104 | $76 (top 5% from $314) | 65th percentile | |
| 92609 | Therapy service for use of speech-generating device with programming | $82K | 2% | $142 | $181 (top 5% from $466) | 35th percentile | |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | $73K | 2% | $83 | $53 (top 5% from $238) | 77th percentile | |
| 97161 | Evaluation for physical therapy, typically 20 minutes | $69K | 2% | $77 | $51 (top 5% from $132) | 82nd percentile | |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | $55K | 2% | $69 | $3.93 (top 5% from $105) | 89th percentile |
In this area
14 providers in Multnomah County, OR carry an indicator in the public record, with $2.8M at stake between them. The most common is part of a provider network, on 7 of them, followed by more hours than a day holds on 6. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JENNIFER JABLIN Portland, OR, ranked 102 | $264K |
|
| 3 | WESTERN HEALTH RESOURCES Portland, OR, ranked 1454 | $34K |
|
| 3 | TRADITIONS HOSPICE OF PORTLAND, LLC Portland, OR, ranked 1489 | $22K |
|
| 3 | WEST HILLS CONVALESCENT CENTER LIMITED PARTNERSHIP Portland, OR, ranked 2938 | $0 |
|
| 3 | WARM SPRINGS HOME HEALTH CARE INC Portland, OR, ranked 3840 | $0 |
|
| 3 | WESTERN HEALTH RESOURCES Portland, OR, ranked 4477 | $0 |
|
| 3 | PINNACLE HOSPICE CARE INC Portland, OR, ranked 4577 | $0 |
|
| 3 | ROSE CITY HOME HEALTH CARE INC Portland, OR, ranked 6121 | $0 |
|
Recent enforcement in OR
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.