NP / PA
Shelton, Timothy
Shelton, Timothy was paid $12K by Medicaid between Dec 2018 and Feb 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoSHELTON, TIMOTHY
LAWRENCEBURG, TN 38464
LAWRENCEBURG, TN 38464
33aNPI1720429517assigned 07/09/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$12K
24GClaims582
24DCodes billed4
24AFirst – last monthDec 2018 – Feb 2019
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#357 of 687
Median peer was paid$15K
This provider vs. median0.9×
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 | 162 | $4K | |
| 2019 | 420 | $9K |
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 | 76% | 230 | 213 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 12% | 170 | 81 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 11% | 158 | 146 | $1K |
| 87807 | 1.4% | 24 | 22 | $171.35 |
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.