Gifford, Shelby

Gifford, Shelby was paid $56K by Medicaid between Apr 2018 and Mar 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoGIFFORD, SHELBY
DANVERS, MA 01923

33aNPI1386161933assigned 08/24/2017

33bProvider typeFamily Nurse Practitioner

28Total paid$56K

24GClaims1,384

24DCodes billed3

24AFirst – last monthApr 2018 – Mar 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Massachusetts

Rank by total paid#51 of 327

Median peer was paid$5K

This provider vs. median10×

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	95	$7K
2019	136	$8K
2020	308	$11K
2021	661	$22K
2022	122	$5K
2023	62	$3K

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	48%	520	512	$27K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	42%	793	786	$23K
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	10%	71	71	$6K

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.