Physician
Shelby Medical Associates, PA
Shelby Medical Associates, PA was paid $207K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 72% of everything it billed.
33Billing provider infoSHELBY MEDICAL ASSOCIATES, PA
SHELBY, NC 28150
SHELBY, NC 28150
33aNPI1104819754assigned 08/30/2005
33bProvider typeAdolescent Medicine (Internal Medicine) Physician
28Total paid$207K
24GClaims31,274
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 423 | $5K | |
| 2019 | 1,620 | $18K | |
| 2020 | 1,036 | $12K | |
| 2021 | 2,678 | $20K | |
| 2022 | 5,555 | $30K | |
| 2023 | 8,945 | $48K | |
| 2024incomplete | 11,017 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 72% | 23,729 | 13,552 | $148K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 1,498 | 846 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 591 | 355 | $15K |
| 99490 | Ccm add 20min | 3.0% | 1,596 | 924 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 907 | 529 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 755 | 435 | $849.86 |
| 80061 | Lipid panel | <1% | 413 | 249 | $705.55 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,321 | 785 | $588.57 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 141 | 82 | $450.96 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 175 | 115 | $426.14 |
| 94060 | <1% | 42 | 28 | $343.80 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 42 | 25 | $35.91 |
2 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $30.80 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 38 | $12.60 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFERRELL, PAUL (PRESIDENT/PHYSICIAN)