Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1346301025assigned 12/13/2006
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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,289$38K
20191,070$31K
2020802$36K
2021383$28K
202217$1K
20231,022$70K
2024incomplete655$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.