Physician
Shelton, Donnie
Shelton, Donnie was paid $244K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 51% of everything it billed.
33Billing provider infoSHELTON, DONNIE
HERRIN, IL 62948
HERRIN, IL 62948
33aNPI1346301025assigned 12/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$244K
24GClaims5,238
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#469 of 2,947
Median peer was paid$43K
This provider vs. median5.7×
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 | 1,289 | $38K | |
| 2019 | 1,070 | $31K | |
| 2020 | 802 | $36K | |
| 2021 | 383 | $28K | |
| 2022 | 17 | $1K | |
| 2023 | 1,022 | $70K | |
| 2024incomplete | 655 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 51% | 2,290 | 2,188 | $125K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 25% | 814 | 753 | $62K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 22% | 1,838 | 1,757 | $53K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.2% | 126 | 124 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 170 | 161 | $1K |
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.