Physician
Shelbyville Clinic Corp
Shelbyville Clinic Corp was paid $512K by Medicaid between Jan 2018 and Dec 2020, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoSHELBYVILLE CLINIC CORP
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1295785699assigned 05/10/2006
33bProvider typeInternal Medicine Physician
28Total paid$512K
24GClaims29,842
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Internal Medicine Physician providers in Tennessee
Rank by total paid#58 of 581
Median peer was paid$15K
This provider vs. median34×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more
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 | 23,590 | $389K | |
| 2019 | 3,382 | $70K | |
| 2020 | 2,870 | $52K |
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 | 48% | 11,942 | 7,670 | $248K |
| 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 | 22% | 3,907 | 2,730 | $114K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 1,093 | 846 | $45K |
| 20610 | 3.1% | 697 | 399 | $16K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 318 | 167 | $13K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 187 | 148 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 2,543 | 1,524 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 194 | 116 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 1,115 | 597 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 122 | 76 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 544 | 315 | $6K |
| 73562 | <1% | 412 | 288 | $5K |
41 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 953 | $4K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 523 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 454 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 23 | $1K |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 707 | $1K |
| 93000 | <1% | 259 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 244 | $1K |
| 99381 | <1% | 19 | $1K | |
| 92587 | <1% | 152 | $1K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 47 | $965.93 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 125 | $698.57 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 82 | $650.27 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 139 | $631.44 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 83 | $605.50 |
| 99173 | <1% | 245 | $546.47 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $513.57 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 140 | $415.75 |
| 90715 | <1% | 26 | $343.26 | |
| 73610 | <1% | 38 | $332.60 | |
| 81002 | <1% | 588 | $293.94 | |
| G0008 | Administration of influenza virus vaccine | <1% | 81 | $281.40 |
| 73130 | <1% | 20 | $255.60 | |
| G0009 | Administration of pneumococcal vaccine | <1% | 108 | $248.69 |
| 94760 | <1% | 112 | $206.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 460 | $195.21 |
| 90686 | <1% | 34 | $161.65 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 249 | $86.81 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 29 | $44.90 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 77 | $41.42 |
| 82962 | <1% | 26 | $24.64 | |
| 90670 | 0% | 103 | $0.00 | |
| 90633 | 0% | 27 | $0.00 | |
| 90687 | 0% | 28 | $0.00 | |
| 90461 | 0% | 42 | $0.00 | |
| 99024 | 0% | 239 | $0.00 | |
| 90688 | 0% | 17 | $0.00 | |
| 3008F | 0% | 35 | $0.00 | |
| 90744 | 0% | 56 | $0.00 | |
| 90680 | 0% | 53 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 18 | $0.00 |
| 90698 | 0% | 94 | $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.
From NPPES
Who's on the registration
Authorized officialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.