Adams, Shane

Adams, Shane was paid $49K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 74% of everything it billed.

33Billing provider infoADAMS, SHANE
JOHNSON CITY, TN 37604

33aNPI1154361319assigned 06/07/2006

33bProvider typeFamily Medicine Physician

28Total paid$49K

24GClaims1,228

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#339 of 754

Median peer was paid$34K

This provider vs. median1.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	556	$17K
2019	479	$21K
2020	193	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	74%	690	633	$36K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	19%	291	274	$9K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	6.3%	56	55	$3K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	191	152	$359.08

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.