Shelton, Althea

Shelton, Althea was paid $165K by Medicaid between Jan 2018 and Nov 2020, across 6 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 31% of everything it billed.

33Billing provider infoSHELTON, ALTHEA
NASHVILLE, TN 37232

33aNPI1417134677assigned 01/29/2008

33bProvider typeNeurology Physician

28Total paid$165K

24GClaims1,503

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Neurology Physician providers in Tennessee

Rank by total paid#23 of 83

Median peer was paid$27K

This provider vs. median6.2×

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	396	$38K
2019	634	$73K
2020	473	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95810	Polysomnography; sleep staging with 4 or more additional parameters	31%	301	294	$51K
95782		24%	288	281	$40K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	24%	310	285	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	575	541	$32K
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	<1%	14	14	$1K
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%	15	12	$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.