Physician
Shelton, Richard
Shelton, Richard was paid $108K by Medicaid between Jan 2018 and Jul 2021, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoSHELTON, RICHARD
BUFORD, GA 30518
BUFORD, GA 30518
33aNPI1619947769assigned 01/23/2006
33bProvider typePediatrics Physician
28Total paid$108K
24GClaims2,516
24DCodes billed21
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#93 of 220
Median peer was paid$57K
This provider vs. median1.9×
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 | 42 | $1K | |
| 2019 | 75 | $2K | |
| 2020 | 1,435 | $59K | |
| 2021 | 964 | $45K |
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 | 25% | 381 | 376 | $27K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 25% | 505 | 505 | $27K |
| 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 | 16% | 170 | 166 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.9% | 204 | 204 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 68 | 68 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 68 | 68 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.3% | 60 | 60 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 115 | 114 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 39 | 39 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 13 | 13 | $1K |
| 87070 | 1.0% | 92 | 91 | $1K | |
| 96127 | <1% | 119 | 119 | $586.07 |
9 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $472.17 |
| 99429 | <1% | 55 | $375.00 | |
| 99051 | <1% | 13 | $305.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | $126.06 |
| 36415 | Collection of venous blood by venipuncture | <1% | 47 | $90.00 |
| 90686 | <1% | 140 | $19.98 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 351 | $15.33 |
| 90670 | 0% | 26 | $0.00 | |
| 90648 | 0% | 26 | $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.