Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1104819754assigned 08/30/2005
28Total paid$207K
24GClaims31,274
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018423$5K
20191,620$18K
20201,036$12K
20212,678$20K
20225,555$30K
20238,945$48K
2024incomplete11,017$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)