RONALD SHELTON, M.D.
Specialist · NEW YORK, NY
Individual Active NPI 1093806630
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 645 | 2,858 | $4,186,515 | $1,009,104 | $805,727 |
| 2023 | 610 | 2,915 | $4,143,895 | $1,007,559 | $796,219 |
| 2022 | 580 | 2,923 | $3,492,795 | $938,834 | $740,403 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 469 | $720 | $577 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 370 | $487 | $392 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 331 | $130 | $101 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 304 | $66 | $49 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 207 | $105 | $81 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 176 | $744 | $596 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 119 | $265 | $213 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 88 | $286 | $230 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 68 | $118 | $93 |
| 17314 | Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks | 64 | $466 | $375 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 63 | $233 | $187 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 46 | $84 | $65 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Specialist | 174400000X | ✓ | 165196 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.