Physician
Shelbyville Hospital Company LLC
Shelbyville Hospital Company LLC was paid $999K by Medicaid between Apr 2018 and Dec 2020, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoSHELBYVILLE HOSPITAL COMPANY LLC
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1619496197assigned 09/15/2017
33bProvider typeFamily Medicine Physician
28Total paid$999K
24GClaims54,909
24DCodes billed46
24AFirst – last monthApr 2018 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#58 of 754
Median peer was paid$34K
This provider vs. median30×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WRIGHT, JAMES controls 20+ related entities in our dataset. Read more
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 | 18,551 | $245K | |
| 2019 | 24,844 | $477K | |
| 2020 | 11,514 | $277K |
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 | 55% | 20,777 | 13,794 | $553K |
| 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 | 19% | 6,362 | 3,456 | $188K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.1% | 1,096 | 814 | $51K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 5,984 | 4,304 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 451 | 300 | $23K |
| 92587 | 2.2% | 1,180 | 810 | $22K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 1,568 | 1,060 | $22K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.1% | 3,343 | 1,710 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 460 | 277 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 1,865 | 1,258 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 1,335 | 875 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 247 | 158 | $14K |
34 more codes
| 99173 | <1% | 1,137 | $5K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 504 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 42 | $2K |
| 90686 | <1% | 350 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 81002 | <1% | 771 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 584 | $634.29 |
| 1125F | <1% | 845 | $580.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 108 | $522.45 |
| 1126F | <1% | 475 | $461.91 | |
| 3074F | <1% | 474 | $381.91 | |
| 1160F | <1% | 720 | $311.91 | |
| 3079F | <1% | 166 | $280.00 | |
| 3078F | <1% | 388 | $271.90 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,032 | $252.30 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 15 | $227.80 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 53 | $209.30 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $194.00 |
| 99441 | <1% | 20 | $166.34 | |
| 90461 | <1% | 1,005 | $138.48 | |
| 3075F | <1% | 43 | $120.00 | |
| 96127 | <1% | 14 | $41.62 | |
| 3077F | <1% | 32 | $30.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 774 | $0.00 |
| 1159F | 0% | 82 | $0.00 | |
| 1090F | 0% | 14 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 94 | $0.00 |
| 1036F | 0% | 335 | $0.00 | |
| 1170F | 0% | 34 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 36 | $0.00 |
| 94760 | 0% | 24 | $0.00 | |
| 3008F | 0% | 14 | $0.00 | |
| 90698 | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialWRIGHT, JAMES (VP PHYSICIAN BUSINESS SERVICES)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.