Physician
R. Shane Roberts, M.D., INC.
R. Shane Roberts, M.D., INC. was paid $178K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoR. SHANE ROBERTS, M.D., INC.
DECATUR, TN 37322
DECATUR, TN 37322
33aNPI1508062977assigned 06/22/2007
33bProvider typeFamily Medicine Physician
28Total paid$178K
24GClaims4,253
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#176 of 754
Median peer was paid$34K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2018 | 659 | $28K | |
| 2019 | 692 | $26K | |
| 2020 | 608 | $26K | |
| 2021 | 626 | $24K | |
| 2022 | 646 | $27K | |
| 2023 | 547 | $26K | |
| 2024incomplete | 475 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 80% | 3,192 | 2,408 | $142K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 849 | 701 | $30K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.7% | 178 | 154 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | 17 | $363.36 |
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 officialROBERTS, R. SHANE (OWNER)