Physician
Shelley, Mark
Shelley, Mark was paid $299K by Medicaid between Oct 2020 and Dec 2024, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSHELLEY, MARK
PORT ALLEGANY, PA 16743
PORT ALLEGANY, PA 16743
33aNPI1336106954assigned 04/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$299K
24GClaims4,546
24DCodes billed2
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#238 of 2,756
Median peer was paid$19K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2020 | 157 | $9K | |
| 2021 | 957 | $68K | |
| 2022 | 1,379 | $83K | |
| 2023 | 1,089 | $78K | |
| 2024incomplete | 964 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 4,118 | 2,771 | $299K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 428 | 394 | $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.