Shelton, Mark

Shelton, Mark was paid $14K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 60% of everything it billed.

33Billing provider infoSHELTON, MARK
WINNFIELD, LA 71483

33aNPI1548251036assigned 11/02/2005

33bProvider typeInternal Medicine Physician

28Total paid$14K

24GClaims4,891

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Louisiana

Rank by total paid#171 of 290

Median peer was paid$27K

This provider vs. median0.5×

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	590	$2K
2019	777	$2K
2020	793	$2K
2021	752	$2K
2022	706	$2K
2023	740	$2K
2024incomplete	533	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	60%	3,253	2,576	$8K
99308	Subsequent nursing facility care, per day, straightforward	21%	900	752	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	15%	315	52	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.2%	42	39	$434.87
80053	Comprehensive metabolic panel	<1%	114	100	$30.57
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	117	103	$21.65
83735		<1%	136	116	$18.67
36415	Collection of venous blood by venipuncture	0%	14	14	$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.