Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or American Samoa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to American Samoa only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. American Samoa (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Debbie Shelton (NPI 1659578458)

Field	Value
Entity Type	Individual
Organization	Debbie Shelton
Address	3900 Petro Rd
City	West Memphis
State	AS
ZIP	72301
Taxonomy	Nurse Practitioner
NPI Enumerated	June 27, 2007

Payer Source	Total Paid
Medicare	$6K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is very small in absolute dollars: total Medicare revenue is $6K and there is no Medicaid billing on file. The absence of any Medicaid claims makes this effectively a single-payer Medicare billing profile, so analyses of payer mix or state Medicaid participation are not applicable for this NPI.

Revenue is extremely concentrated in emergency-department evaluation-and-management codes: the precomputed top three codes account for 100.0% of this provider’s Medicare revenue. Specifically, 99284, 99285, and 99283 together drive all reported Medicare receipts, signaling a narrow service line focus rather than a broad outpatient panel.

The single largest Medicare code is 99284 (51 claims, $72 avg paid/claim, $3.7K revenue; 61.4% of this provider's total Medicare revenue), indicating the bulk of billed activity is moderate-complexity emergency department E/M work. That revenue share suggests the provider’s clinical workload is centered on moderate-acuity ED visits rather than routine office-based care or procedural services.

Smaller but material contributions come from 99285 (12 claims, $110 avg paid/claim, $1.3K revenue; 22.1%) and 99283 (23 claims, $43 avg paid/claim, $989 revenue; 16.5%). The mix of 99284 and 99285 indicates the provider occasionally sees higher-acuity ED patients, but volume is weighted toward the moderate-complexity level.

National competitive standing for these codes is modest: 99284 ranks #36550 of 64306 providers nationally (42th percentile) and is described as "typical, unremarkable volume for this code," while 99285 ranks #59977 of 61347 providers (1th percentile) and 99283 ranks #13933 of 31069 providers (53th percentile), both also labeled "typical, unremarkable volume for this code." In plain terms, this provider is not a national leader on these ED E/M codes and appears to operate at routine, modest volumes relative to peers.

Given the claim-level payments reported ($72 avg for 99284, $110 avg for 99285, $43 avg for 99283), reimbursement per encounter falls in a low-to-moderate range consistent with ED E/M payments rather than high-revenue procedural codes. This pattern reinforces that the practice is service-line centric to evaluation-and-management rather than procedures or extended inpatient care.

Tenure is long: the NPI was enumerated on 2007-06-27 (~19 years ago), indicating the provider has an established billing history even though current Medicare revenue is small. The long enrollment combined with limited billing activity may point to part-time ED work, backup coverage arrangements, or recent reductions in billed volume.

Concentration risk is meaningful from an analytics and contracting perspective because 100.0% of Medicare revenue is tied to three ED E/M codes. Any changes in emergency-department staffing, contract status, or payer reimbursement for 99284/99285/99283 could disproportionately impact this provider's reported Medicare income given the lack of Medicaid or other diversified revenue streams.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	50	$70	$3.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	10	$110	$1.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$40	$990

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. American Samoa Distribution

Debbie Shelton — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — American Samoa

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	1	10	50	$70	$3.7K
99285	1	10	10	$110	$1.3K
99283	1	10	20	$40	$1000

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lance Harrell	AR	Family Nurse Practitioner	$66.8K	$0
Victoria Hollis	AR	Family Nurse Practitioner	$31.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids For The Future, Inc.	AR	Clinical Child & Adolescent Psychologist	$0	$21.4M
Life Strategies Of Arkansas, LLC	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.3M
Frank C. Steudlein Learning Center	AR	Developmentally Disabled Services Day Training Agency	$0	$12.2M
Southeastern Intensivist Services PC	AR	Hospitalist Physician	$0	$11.5M
Pediatric Associates Of West Memphis, Plc	AR	Clinic/Center	$0	$10.6M
East Arkansas Family Health Center Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$9.6M
Loving Arms Staffing Agency, LLC #1	AR	Home Health Agency	$0	$8.3M
Crittenden Ems LLC	AR	Land Ambulance	$1M	$4.5M
Baptist Memorial Hospital - Crittenden Inc	AR	General Acute Care Hospital	$0	$4.1M
Cuffie Healthcare LLC	AR	Personal Care Attendant	$0	$3.8M

Debbie Shelton — Billing Profile & Reimbursement Data

Sign up for Debbie Shelton — Billing Profile & Reimbursement Data policy alerts

Debbie Shelton — Billing Profile & Reimbursement Data

Sign up for Debbie Shelton — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References