Shelton, Carl

Shelton, Carl was paid $149K by Medicaid between Jun 2018 and Jun 2024, across 4 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 51% of everything it billed.

33Billing provider infoSHELTON, CARL
EDGEWOOD, KY 41017

33aNPI1588651715assigned 10/03/2005

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$149K

24GClaims6,173

24DCodes billed4

24AFirst – last monthJun 2018 – Jun 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Kentucky

Rank by total paid#12 of 29

Median peer was paid$31K

This provider vs. median4.8×

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	355	$9K
2019	817	$22K
2020	1,131	$30K
2021	1,009	$22K
2022	1,259	$30K
2023	1,338	$29K
2024incomplete	264	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	51%	4,218	999	$76K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	28%	1,438	414	$42K
99222	Initial hospital care, per day, moderate complexity	19%	449	384	$28K
99239	Hospital discharge day management, more than 30 minutes	2.1%	68	55	$3K

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.