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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Shelton
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    Charles Shelton — Billing Profile & Reimbursement Data

    NPI 1437192630 · Lewisburg, WV · Radiation Oncology Physician

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    Charles Shelton is a radiation oncology physician provider located in Lewisburg, West Virginia. This profile covers 13 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
    OrganizationCharles Shelton
    Address187 Skylar Dr
    CityLewisburg
    StateWV
    ZIP24901
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJune 14, 2006

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

    Payer SourceTotal Paid
    Medicare$157.2K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77014N/A1,610$40$56.3K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…310$150$45.7K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…40$330$14.5K
    77263The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…60$120$7.6K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…270$30$6.9K
    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…140$40$6K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.120$50$5.5K
    99204The provider sees a new 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 provider…50$100$5.2K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…170$20$4K
    77295Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…20$180$3.2K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77014320640$50$46.3K
    77427520170$150$31K
    7730182040$640$30.5K
    77300620190$40$14.7K
    773341220160$60$8.9K
    7726392060$130$8.4K
    992139682,86080$50$7.5K
    77295112020$210$6.1K
    77290112030$110$5K
    992043031,22030$100$4.1K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vidant Medical Group LLCNCMulti-Specialty Clinic/Center$0$78M
    Pitt County Memorial Hospital, IncNCGeneral Acute Care Hospital$0$60.3M
    East Carolina UniversityNCInternal Medicine Physician$0$53.7M
    Pitt County Memorial Hospital IncNCAmbulance$0$15.6M
    Eastern Radiologists IncNCDiagnostic Radiology Physician$0$14.3M
    Duplin General Hospital IncorporatedNCGeneral Acute Care Hospital$0$13.6M
    East Carolina Health - Heritage IncNCGeneral Acute Care Hospital$0$12.9M
    East Carolina Health - Chowan IncNCCritical Access Hospital$0$9.5M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M
    East Carolina HealthNCGeneral Acute Care Hospital$0$8.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Open Doors For The Developmentally Challenged, Inc.WVDevelopmental Disabilities Clinic/Center$0$25.2M
    West Virginia School Of Osteopathic Medicine Clinic IncWVRural Health Clinic/Center$0$9.5M
    Rebecca KuceraWVPediatric Dentistry$0$5.1M
    Davis-stuart, Inc.WVEmotionally Disturbed Childrens' Residential Treatment Facility$0$3.6M
    Greenbrier County Emergency Ambulance Service, IncWVAmbulance$352.4K$2.6M
    Lincare Inc.WVDurable Medical Equipment & Medical Supplies$0$1.8M
    Rainelle Medical Center, IncWVFederally Qualified Health Center (FQHC)$0$1.3M
    Rainelle Medical Center, IncWVFederally Qualified Health Center (FQHC)$0$1.2M
    West Virginia Radiation Therapy Services IncWVRadiation Oncology Physician$0$1.1M
    Wecare Medical LLCWVOxygen Equipment & Supplies (DME)$0$868.6K

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Charles Shelton — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia