Physician
Markel, Shelby
Markel, Shelby was paid $161K by Medicaid between Sep 2023 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoMARKEL, SHELBY
ALTON, IL 62002
ALTON, IL 62002
33aNPI1174148464assigned 06/11/2020
33bProvider typePediatrics Physician
28Total paid$161K
24GClaims4,658
24DCodes billed26
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#611 of 1,805
Median peer was paid$55K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2023 | 580 | $19K | |
| 2024incomplete | 4,078 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 704 | 632 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 448 | 369 | $30K |
| 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 | 13% | 276 | 254 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 238 | 161 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.1% | 644 | 492 | $11K |
| 96127 | 5.7% | 630 | 530 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 68 | 58 | $5K |
| D1206 | Topical application of fluoride varnish | 2.9% | 175 | 108 | $5K |
| 90671 | 2.8% | 261 | 180 | $5K | |
| 87428 | 2.7% | 73 | 72 | $4K | |
| 90697 | 2.2% | 223 | 184 | $4K | |
| 90680 | 2.2% | 218 | 163 | $4K |
14 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| 90677 | <1% | 76 | $1K | |
| 90686 | <1% | 64 | $1K | |
| 83655 | <1% | 79 | $948.80 | |
| 99460 | <1% | 12 | $753.12 | |
| 90656 | <1% | 40 | $671.43 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 57 | $633.09 |
| 36416 | <1% | 100 | $410.00 | |
| 85018 | <1% | 170 | $389.76 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $219.80 |
| 90710 | <1% | 14 | $217.23 | |
| 87807 | <1% | 12 | $112.57 | |
| 90461 | 0% | 15 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 20 | $0.00 |
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.