Medicaid Provider Spending

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

CORNELL J SHELTON MD PLLC

NPI: 1164935631 · FREDERICKSBURG, VA 22408 · Physical Medicine & Rehabilitation Physician · NPI assigned 11/07/2017

$106K
Total Medicaid Paid
4,857
Total Claims
2,395
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHELTON, CORNELL (DOCTOR)
NPI Enumeration Date11/07/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 849 $8K
2019 972 $18K
2020 592 $12K
2021 596 $11K
2022 650 $19K
2023 707 $22K
2024 491 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,000 1,945 $90K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 273 146 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 114 89 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 287 94 $4K
99205 Prolong outpt/office vis 42 38 $3K
99308 Subsequent nursing facility care, per day, straightforward 102 59 $774.93
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 39 24 $143.14