Clinic
Shelbyville Hospital Company LLC
Shelbyville Hospital Company LLC was paid $85K by Medicaid between Oct 2019 and Dec 2020, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoSHELBYVILLE HOSPITAL COMPANY LLC
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1548788458assigned 08/31/2017
33bProvider typeRural Health Clinic/Center
28Total paid$85K
24GClaims2,777
24DCodes billed6
24AFirst – last monthOct 2019 – Dec 2020
Compared with peers
Next to other Rural Health Clinic/Center providers in Tennessee
Rank by total paid#56 of 96
Median peer was paid$127K
This provider vs. median0.7×
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 | 805 | $26K | |
| 2020 | 1,972 | $59K |
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 | 94% | 1,733 | 1,547 | $80K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 671 | 593 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 224 | 156 | $939.40 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 83 | 68 | $725.61 |
| 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% | 35 | 30 | $489.42 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 31 | 26 | $7.22 |
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 officialKANE, CHERI (VICE PRESIDENT)
Parent organizationSHELBYVILLE HOSPITAL COMPANY LLC
| Provider | Location | Paid |
|---|---|---|
| Clinton Hma LLC | Clinton, OK | $624K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.