NPI: 1326695255 · LOUISVILLE, KY 40241 · Clinical Social Worker · NPI assigned 08/26/2019
Authorized official GAST, SHELLEY controls 20+ related entities in our dataset. Read more
| Authorized Official | GAST, SHELLEY (SYST VP OF MNGD CARE & PAYOR STRAT) |
| NPI Enumeration Date | 08/26/2019 |
Other providers sharing the same authorized official: GAST, SHELLEY
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 368,667 | $10.62M |
| 2021 | 613,806 | $21.25M |
| 2022 | 727,089 | $25.36M |
| 2023 | 744,204 | $25.93M |
| 2024 | 703,531 | $24.20M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 321,096 | 300,425 | $18.58M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 352,567 | 327,431 | $13.43M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 254,010 | 246,502 | $8.51M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 104,578 | 101,701 | $7.68M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 105,188 | 98,877 | $6.74M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 40,445 | 38,706 | $5.19M |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 121,293 | 116,836 | $4.90M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 59,377 | 57,208 | $3.90M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 44,930 | 43,614 | $3.21M |
| 99215 | Prolong outpt/office vis | 40,036 | 36,926 | $3.14M |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 19,602 | 18,333 | $1.93M |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 18,903 | 17,705 | $1.72M |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 19,011 | 18,048 | $1.63M |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 45,061 | 42,410 | $1.41M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 11,357 | 10,845 | $1.25M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13,636 | 13,224 | $1.07M |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 35,756 | 33,470 | $1.02M |
| 99238 | Hospital discharge day management, 30 minutes or less | 24,312 | 22,875 | $1.02M |
| 99173 | 18,142 | 17,250 | $902K | |
| 99232 | Subsequent hospital care, per day, moderate complexity | 24,748 | 9,322 | $845K |
| 99460 | 20,976 | 20,046 | $805K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 8,168 | 7,690 | $791K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 9,081 | 2,049 | $788K |
| 93320 | 19,439 | 18,121 | $687K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 7,618 | 1,811 | $636K |
| 95720 | 4,710 | 3,416 | $595K | |
| 93325 | 27,589 | 24,853 | $556K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 9,329 | 8,232 | $554K |
| 93000 | 25,447 | 24,292 | $497K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 34,043 | 31,033 | $481K |
| 99233 | Prolong inpt eval add15 m | 10,537 | 3,912 | $463K |
| 99243 | 6,327 | 6,083 | $462K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7,319 | 6,926 | $427K |
| 76770 | 12,351 | 11,990 | $402K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 53,958 | 50,898 | $398K |
| 90670 | 51,392 | 49,960 | $353K | |
| 87631 | 2,690 | 2,580 | $352K | |
| 71045 | Radiologic examination, chest; single view | 54,019 | 29,577 | $346K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 7,048 | 6,877 | $340K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 14,265 | 13,651 | $288K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 2,733 | 2,555 | $282K |
| 70450 | Computed tomography, head or brain; without contrast material | 7,330 | 6,843 | $277K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 14,265 | 12,268 | $261K |
| 99462 | 12,774 | 10,289 | $251K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 3,478 | 3,275 | $231K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1,884 | 988 | $225K |
| 83655 | 17,903 | 17,101 | $216K | |
| 90677 | 17,281 | 16,732 | $215K | |
| 71046 | Radiologic examination, chest; 2 views | 24,937 | 24,122 | $214K |
| 74018 | 30,918 | 22,037 | $210K | |
| 99205 | Prolong outpt/office vis | 2,308 | 2,035 | $208K |
| 99222 | Initial hospital care, per day, moderate complexity | 2,700 | 2,551 | $206K |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 2,931 | 2,833 | $199K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 23,013 | 17,471 | $193K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2,544 | 2,453 | $181K |
| 99223 | Prolong inpt eval add15 m | 1,657 | 1,550 | $175K |
| 36416 | 78,394 | 74,086 | $167K | |
| 92551 | 15,580 | 14,890 | $162K | |
| 74019 | 15,885 | 15,319 | $142K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 639 | 172 | $142K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 852 | 149 | $137K |
| 54150 | 2,165 | 2,092 | $129K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1,162 | 1,045 | $125K |
| 99245 | 831 | 752 | $113K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2,061 | 1,993 | $112K |
| 0001A | 3,330 | 2,819 | $109K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2,164 | 1,142 | $109K |
| 96127 | 29,768 | 28,129 | $106K | |
| 90839 | 1,307 | 1,201 | $103K | |
| 80061 | Lipid panel | 7,814 | 7,532 | $102K |
| 0071A | 2,919 | 2,501 | $97K | |
| 0072A | 2,356 | 2,277 | $90K | |
| 99174 | 5,072 | 4,786 | $89K | |
| 0002A | 2,531 | 2,297 | $88K | |
| 99188 | 6,795 | 6,490 | $87K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 3,245 | 3,105 | $80K |
| 83036 | Hemoglobin; glycosylated (A1C) | 9,408 | 8,963 | $80K |
| 64643 | 982 | 902 | $77K | |
| 90680 | 35,176 | 34,256 | $75K | |
| 92587 | 2,069 | 1,967 | $74K | |
| 72141 | 1,078 | 1,042 | $73K | |
| 14040 | 448 | 391 | $70K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 620 | 440 | $69K |
| 94060 | 2,312 | 2,129 | $69K | |
| 77073 | 2,398 | 2,281 | $66K | |
| 95812 | 1,484 | 1,426 | $62K | |
| 54161 | 755 | 671 | $60K | |
| 72082 | 1,552 | 1,492 | $60K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,615 | 2,509 | $58K |
| 99254 | 662 | 553 | $56K | |
| 54360 | 163 | 138 | $56K | |
| 51728 | 739 | 709 | $54K | |
| 94010 | 3,082 | 2,966 | $54K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 558 | 501 | $51K |
| 90474 | 4,257 | 3,981 | $50K | |
| 76506 | 2,067 | 1,807 | $50K | |
| 99417 | Prolong home eval add 15m | 919 | 800 | $48K |
| 72146 | 721 | 694 | $48K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 634 | 620 | $47K |
| 90791 | Psychiatric diagnostic evaluation | 607 | 486 | $45K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 241 | 221 | $44K |
| 93304 | 1,109 | 921 | $43K | |
| 95782 | 494 | 423 | $43K | |
| 81025 | 6,292 | 5,952 | $43K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 663 | 636 | $43K |
| 96161 | 14,978 | 14,082 | $42K | |
| 72170 | 2,501 | 2,395 | $42K | |
| 54300 | 111 | 101 | $41K | |
| 64642 | 576 | 528 | $40K | |
| 51797 | 746 | 718 | $39K | |
| 36415 | Collection of venous blood by venipuncture | 16,123 | 15,227 | $38K |
| 90480 | 2,486 | 2,376 | $36K | |
| 90461 | 128,297 | 125,037 | $33K | |
| A4590 | Special casting material (e.g., fiberglass) | 3,124 | 2,564 | $33K |
| 99349 | 340 | 272 | $33K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 339 | 322 | $32K |
| 93227 | 1,065 | 959 | $32K | |
| 55175 | 280 | 223 | $31K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2,153 | 2,079 | $29K |
| 95251 | 1,869 | 1,774 | $29K | |
| 96160 | 10,219 | 9,694 | $27K | |
| 51784 | 742 | 715 | $26K | |
| 99383 | 394 | 344 | $26K | |
| 95816 | 496 | 458 | $26K | |
| 90832 | Psychotherapy, 30 minutes with patient | 674 | 502 | $25K |
| 82947 | 6,529 | 6,310 | $25K | |
| 99471 | 45 | 40 | $25K | |
| 90651 | 4,969 | 4,789 | $24K | |
| 92567 | 1,881 | 1,766 | $24K | |
| 36512 | 490 | 442 | $23K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | 28 | 25 | $22K |
| 95718 | 285 | 265 | $22K | |
| 99335 | 454 | 381 | $22K | |
| 82044 | 4,091 | 3,912 | $21K | |
| 99384 | 306 | 250 | $21K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 933 | 474 | $20K |
| 90698 | 57,758 | 55,997 | $20K | |
| 93321 | 1,935 | 1,613 | $20K | |
| 90686 | 86,416 | 83,554 | $19K | |
| 82570 | 4,086 | 3,907 | $19K | |
| 74230 | 863 | 810 | $18K | |
| 74240 | 573 | 556 | $17K | |
| 54304 | 33 | 26 | $15K | |
| 25600 | 80 | 75 | $15K | |
| 73630 | 1,235 | 1,107 | $15K | |
| 90834 | Psychotherapy, 45 minutes with patient | 442 | 236 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,011 | 957 | $14K |
| 87807 | 1,099 | 1,057 | $13K | |
| 51600 | 698 | 669 | $13K | |
| 92579 | 782 | 735 | $13K | |
| 95874 | 1,012 | 928 | $13K | |
| 93976 | 318 | 304 | $12K | |
| 85018 | 4,766 | 4,625 | $11K | |
| 81003 | 9,491 | 8,764 | $11K | |
| 72081 | 459 | 440 | $11K | |
| 99217 | 252 | 227 | $11K | |
| 99336 | 126 | 112 | $10K | |
| 74455 | 613 | 604 | $9K | |
| 99235 | 77 | 71 | $9K | |
| 63200 | 13 | 12 | $9K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 53 | 52 | $8K |
| 0004A | 226 | 211 | $8K | |
| 99381 | 114 | 111 | $8K | |
| 0081A | 288 | 199 | $8K | |
| 73100 | 404 | 375 | $7K | |
| 90744 | 19,416 | 18,753 | $7K | |
| 76885 | 227 | 216 | $7K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 148 | 93 | $7K |
| 76800 | 141 | 137 | $7K | |
| 90840 | 149 | 144 | $6K | |
| 73070 | 516 | 487 | $6K | |
| 93296 | 361 | 288 | $6K | |
| 92582 | 134 | 124 | $6K | |
| 76825 | 179 | 152 | $6K | |
| 99219 | 80 | 77 | $6K | |
| 69990 | 43 | 38 | $6K | |
| 73090 | 766 | 724 | $6K | |
| 90707 | 2,734 | 2,657 | $6K | |
| 64644 | 81 | 75 | $6K | |
| 76827 | 180 | 152 | $6K | |
| 0054A | 162 | 141 | $5K | |
| 90633 | 25,502 | 24,534 | $5K | |
| 95819 | 94 | 86 | $5K | |
| 0151A | 142 | 137 | $5K | |
| 99255 | 42 | 38 | $5K | |
| 96112 | 71 | 56 | $5K | |
| 77072 | 713 | 690 | $5K | |
| 99242 | 91 | 89 | $5K | |
| 70544 | 113 | 106 | $5K | |
| 73564 | 167 | 141 | $5K | |
| 99220 | 45 | 42 | $4K | |
| 0052A | 130 | 110 | $4K | |
| 90837 | Psychotherapy, 53 minutes with patient | 88 | 50 | $4K |
| 96380 | 251 | 237 | $4K | |
| 99464 | 100 | 93 | $4K | |
| 73590 | 539 | 412 | $4K | |
| 73610 | 503 | 478 | $4K | |
| 73560 | 262 | 236 | $4K | |
| 99177 | 1,160 | 1,124 | $4K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 134 | 61 | $4K |
| 0171A | 90 | 88 | $4K | |
| 92583 | 152 | 147 | $3K | |
| 31575 | 65 | 65 | $3K | |
| 92526 | 111 | 60 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 3,780 | 3,522 | $3K |
| 51741 | 96 | 95 | $3K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 96 | 96 | $3K |
| 99310 | Prolong nursin fac eval 15m | 40 | 39 | $3K |
| 0074A | 88 | 74 | $3K | |
| 92555 | 299 | 274 | $3K | |
| 99490 | Ccm add 20min | 77 | 77 | $2K |
| 96156 | 73 | 51 | $2K | |
| 99236 | Prolong inpt eval add15 m | 13 | 13 | $2K |
| 76870 | 79 | 77 | $2K | |
| 93294 | 110 | 88 | $2K | |
| 70486 | 44 | 44 | $2K | |
| 0051A | 56 | 50 | $2K | |
| 49446 | 16 | 12 | $2K | |
| 76536 | 79 | 78 | $2K | |
| 73521 | 167 | 165 | $2K | |
| 0121A | 53 | 51 | $2K | |
| 69210 | 85 | 70 | $2K | |
| 99253 | 27 | 25 | $2K | |
| 82247 | 365 | 290 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 114 | 111 | $2K |
| 90656 | 13,039 | 12,931 | $2K | |
| 99418 | Prolong nursin fac eval 15m | 30 | 25 | $2K |
| 0082A | 62 | 41 | $2K | |
| 75573 | 18 | 18 | $2K | |
| 17110 | 82 | 74 | $2K | |
| 0112A | 82 | 41 | $2K | |
| 92552 | 141 | 135 | $1K | |
| 90697 | 6,249 | 6,184 | $1K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 27 | 24 | $1K |
| 99439 | 26 | 25 | $1K | |
| 0124A | 36 | 32 | $1K | |
| 90734 | 1,011 | 982 | $1K | |
| 99218 | 27 | 26 | $1K | |
| 90716 | 4,805 | 4,565 | $1K | |
| 82465 | 282 | 269 | $1K | |
| 92652 | 14 | 12 | $1K | |
| 0154A | 35 | 26 | $1K | |
| 99348 | 13 | 12 | $1K | |
| 73130 | 137 | 130 | $1K | |
| 0111A | 59 | 31 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 20 | 19 | $992.35 |
| 99382 | 14 | 14 | $966.49 | |
| 99221 | 21 | 19 | $952.08 | |
| 29450 | 22 | 13 | $908.64 | |
| 95813 | 13 | 12 | $851.19 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 15 | 15 | $804.32 |
| 58300 | 14 | 14 | $772.78 | |
| 90696 | 1,889 | 1,845 | $768.99 | |
| 73110 | 76 | 71 | $740.17 | |
| 90710 | 2,496 | 2,424 | $710.84 | |
| 92504 | 81 | 76 | $706.84 | |
| 99304 | 15 | 15 | $691.60 | |
| 77076 | 29 | 26 | $657.46 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 672 | 513 | $642.48 |
| 76000 | 51 | 51 | $631.10 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 44 | 18 | $600.58 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 14 | 14 | $590.66 |
| 76775 | 14 | 13 | $583.84 | |
| 0083A | 18 | 15 | $573.20 | |
| 99252 | 16 | 14 | $568.99 | |
| 93784 | 20 | 15 | $524.21 | |
| 74430 | 40 | 38 | $507.78 | |
| 96113 | 25 | 12 | $459.11 | |
| 93225 | 12 | 12 | $414.55 | |
| 2014F | 29,318 | 28,300 | $386.85 | |
| 76857 | 14 | 13 | $358.85 | |
| 73620 | 14 | 12 | $321.06 | |
| 85014 | 133 | 133 | $308.13 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 20 | 18 | $295.62 |
| 95117 | 23 | 12 | $294.18 | |
| 3008F | 118,281 | 114,848 | $290.60 | |
| 86308 | 59 | 59 | $279.29 | |
| 90700 | 214 | 210 | $224.38 | |
| 83718 | 29 | 28 | $203.58 | |
| 70360 | 25 | 25 | $189.07 | |
| 85027 | 25 | 25 | $161.19 | |
| 51798 | 14 | 13 | $134.49 | |
| 77080 | 14 | 12 | $92.37 | |
| 90648 | 167 | 164 | $90.84 | |
| 94664 | 13 | 13 | $89.14 | |
| 73140 | 16 | 15 | $87.47 | |
| 90688 | 64 | 62 | $71.36 | |
| 97802 | 411 | 383 | $23.15 | |
| 97803 | 940 | 855 | $12.23 | |
| 90785 | 66 | 13 | $7.82 | |
| 91300 | 138 | 124 | $0.02 | |
| 99024 | 26,039 | 17,960 | $0.00 | |
| 91307 | 170 | 148 | $0.00 | |
| 91318 | 366 | 346 | $0.00 | |
| 91317 | 109 | 106 | $0.00 | |
| 90619 | 1,901 | 1,812 | $0.00 | |
| 91319 | 302 | 291 | $0.00 | |
| 90381 | 134 | 133 | $0.00 | |
| 91305 | 380 | 341 | $0.00 | |
| 90620 | 56 | 54 | $0.00 | |
| 91315 | 142 | 137 | $0.00 | |
| 90723 | 12 | 12 | $0.00 | |
| 91312 | 67 | 65 | $0.00 | |
| 90713 | 1,570 | 1,440 | $0.00 | |
| 90715 | 1,471 | 1,373 | $0.00 | |
| 91320 | 179 | 173 | $0.00 | |
| 91308 | 72 | 66 | $0.00 | |
| 99401 | 50 | 39 | $0.00 | |
| 91321 | 52 | 52 | $0.00 | |
| 90380 | 12 | 12 | $0.00 | |
| 90714 | 12 | 12 | $0.00 | |
| 90687 | 14 | 13 | $0.00 | |
| 90672 | 12 | 12 | $0.00 |