Shelton, Amanda

Shelton, Amanda was paid $128K by Medicaid between May 2019 and Jan 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoSHELTON, AMANDA
MOUNT VERNON, IL 62864

33aNPI1396961363assigned 04/18/2007

33bProvider typeAdvanced Practice Midwife

28Total paid$128K

24GClaims3,358

24DCodes billed11

24AFirst – last monthMay 2019 – Jan 2022

Compared with peers

Next to other Advanced Practice Midwife providers in Illinois

Rank by total paid#26 of 172

Median peer was paid$30K

This provider vs. median4.3×

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
2019	280	$9K
2020	1,922	$71K
2021	982	$41K
2022	174	$7K

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	43%	1,384	1,005	$56K
0502F		21%	671	483	$27K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	11%	322	189	$14K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	9.8%	289	175	$13K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	4.7%	215	114	$6K
87511		4.6%	130	57	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.8%	157	144	$4K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	54	29	$1K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	17	13	$921.77
76830	Ultrasound, transvaginal	<1%	16	12	$862.80
81025		<1%	103	47	$304.50

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.