Shelby, Todd

Shelby, Todd was paid $11K by Medicaid between Mar 2018 and Jan 2021, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoSHELBY, TODD
LAYTON, UT 84041

33aNPI1275556870assigned 07/25/2006

33bProvider typeFamily Medicine Physician

28Total paid$11K

24GClaims213

24DCodes billed2

24AFirst – last monthMar 2018 – Jan 2021

Compared with peers

Next to other Family Medicine Physician providers in Utah

Rank by total paid#222 of 426

Median peer was paid$12K

This provider vs. median0.9×

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
2018	91	$4K
2019	59	$2K
2020	48	$3K
2021	15	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	96%	201	192	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	12	12	$439.91

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.