Physician
Shelby Pediatrics, LLC
Shelby Pediatrics, LLC was paid $250K by Medicaid between Nov 2021 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoSHELBY PEDIATRICS, LLC
SIDNEY, OH 45365
SIDNEY, OH 45365
33aNPI1568818029assigned 05/13/2016
33bProvider typePediatrics Physician
28Total paid$250K
24GClaims7,656
24DCodes billed23
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#103 of 401
Median peer was paid$30K
This provider vs. median8.5×
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 | |
|---|---|---|---|
| 2021 | 225 | $7K | |
| 2022 | 2,433 | $72K | |
| 2023 | 2,417 | $82K | |
| 2024incomplete | 2,581 | $89K |
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 | 35% | 2,260 | 2,017 | $87K |
| 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 | 25% | 1,051 | 962 | $61K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 1,673 | 1,170 | $37K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 411 | 399 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 310 | 286 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 283 | 229 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 96 | 88 | $6K |
| 96127 | 1.4% | 566 | 492 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 100 | 87 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 80 | 67 | $1K |
| 90670 | <1% | 64 | 55 | $462.09 | |
| 90686 | <1% | 87 | 85 | $350.34 |
11 more codes
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 officialSMITH, KAREN (DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Insight, INC. | Woodbridge, VA | $60.72M |
| The ARC of Greater Prince William/Insight | Woodbridge, VA | $10.77M |
| Alden Medical Supply LLC | Alden, NY | $2.18M |
| All Care Home and Community Services | Itmann, WV | $1.54M |
| Karen L Smith MD, PA | Raeford, NC | $1.13M |
| Karen Smith LCSW LLC | Milford, CT | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.