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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShelby Olds
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    Shelby Olds — Billing Profile & Reimbursement Data

    NPI 1205832169 · Bristol, TN · Internal Medicine Physician

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    Shelby Olds is a internal medicine physician provider located in Bristol, Tennessee. This profile covers 35 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShelby Olds
    Address350 Steeles Rd
    CityBristol
    StateTN
    ZIP37620
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 24, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$147K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…820$90$69.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150$120$18.1K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…300$30$9.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…160$60$9K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…200$40$7.1K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…90$80$6.4K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.140$40$5.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…60$70$4.5K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…130$20$2.3K
    G0008Administration of influenza virus vaccine90$30$2.2K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921439811,370120$80$16.6K
    994582190110$30$11.4K
    G04395812,65070$110$11.2K
    9945747150110$30$10.5K
    9945456140110$30$9K
    992133,26111,03080$50$8K
    906943631,30050$70$5.7K
    9949728177040$60$3.9K
    G00088923,23050$30$2.1K
    93010606990110$10$1.9K

    Showing 1–10 of 35

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Shelby Olds, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bernard GrunstraTNInternal Medicine Physician$98.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Shelby Olds, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellmont Health SystemTNGeneral Acute Care Hospital$0$27.3M
    Bristol Pediatric Dentistry PLLCTNPediatric Dentistry$0$23.4M
    Ipc Pac Healthcare Services Of Tennessee PCTNInternal Medicine Physician$0$8.5M
    Blue Ridge Radiology, P.C.TNDiagnostic Radiology Physician$0$4.2M
    Youthcare PediatricsTNPediatrics Physician$0$3.1M
    Applachian Recovery Care, PLLCTNAddiction Medicine (Internal Medicine) Physician$0$2.4M
    Ambulance Service Of Bristol IncTNAmbulance$836.3K$1.5M
    Mountain Empire Cataract & Eye Surgery CenterTNAmbulatory Surgical Clinic/Center$953.1K$929.5K
    The Endoscopy Center Of BristolTNAmbulatory Surgical Clinic/Center$508.4K$181.3K
    Renaissance Surgery Center, LLCTNAmbulatory Surgical Clinic/Center$669.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Shelby Olds — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee