Physician
Shaftsbury Medical Associates, INC.
Shaftsbury Medical Associates, INC. was paid $394K by Medicaid between Jan 2018 and Jun 2022, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.
33Billing provider infoSHAFTSBURY MEDICAL ASSOCIATES, INC.
SHAFTSBURY, VT 05262
SHAFTSBURY, VT 05262
33aNPI1366524795assigned 10/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$394K
24GClaims7,454
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Family Medicine Physician providers in Vermont
Rank by total paid#16 of 53
Median peer was paid$77K
This provider vs. median5.1×
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 | 2,625 | $128K | |
| 2019 | 2,057 | $101K | |
| 2020 | 1,084 | $57K | |
| 2021 | 1,118 | $65K | |
| 2022 | 570 | $44K |
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 | 85% | 5,944 | 5,332 | $335K |
| 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 | 8.4% | 416 | 377 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 533 | 478 | $21K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 12 | 12 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 63 | 58 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $855.91 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 42 | 42 | $698.65 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 14 | $214.89 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 12 | 12 | $162.13 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | 12 | $69.54 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 275 | 243 | $0.00 |
| 36416 | 0% | 83 | 67 | $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 officialKING, DAVID (PRESIDENT)
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|---|---|---|
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| David R. King, O.D., INC. | Selma, CA | $13K |
| Peninsula Surgical Solutions, LLC | Soldotna, AK | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.