Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHELBY MEDICAL ASSOCIATES, PA

NPI: 1104819754 · SHELBY, NC 28150 · Adolescent Medicine (Internal Medicine) Physician · NPI assigned 08/30/2005

$207K
Total Medicaid Paid
31,274
Total Claims
17,963
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFERRELL, PAUL (PRESIDENT/PHYSICIAN)
NPI Enumeration Date08/30/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 423 $5K
2019 1,620 $18K
2020 1,036 $12K
2021 2,678 $20K
2022 5,555 $30K
2023 8,945 $48K
2024 11,017 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 23,729 13,552 $148K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,498 846 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 591 355 $15K
99490 Ccm add 20min 1,596 924 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 907 529 $1K
80053 Comprehensive metabolic panel 755 435 $849.86
80061 Lipid panel 413 249 $705.55
36415 Collection of venous blood by venipuncture 1,321 785 $588.57
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 141 82 $450.96
84443 Thyroid stimulating hormone (TSH) 175 115 $426.14
94060 42 28 $343.80
83036 Hemoglobin; glycosylated (A1C) 42 25 $35.91
99215 Prolong outpt/office vis 26 12 $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) 38 26 $12.60