KELLEY SHIPPEY, MD
Pediatric Sleep Medicine Physician · KALISPELL, MT
Individual Active NPI 1245431105
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 283 | 451 | $110,479 | $45,783 | $32,495 |
| 2023 | 287 | 424 | $86,507 | $46,542 | $33,933 |
| 2022 | 78 | 87 | $22,796 | $12,033 | $9,427 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 104 | $119 | $82 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 93 | $15 | $12 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 55 | $85 | $59 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 53 | $169 | $121 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 49 | $52 | $38 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $153 | $103 |
| 95810 | Sleep study in sleep lab (6 years or older) | 19 | $252 | $193 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 12 | $179 | $117 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pediatric Sleep Medicine Physician | 2080S0012X | ✓ | 60172 | KY |
| Pediatric Sleep Medicine Physician | 2080S0012X | 35354 | SC | |
| Pediatric Sleep Medicine Physician | 2080S0012X | MED-PHYS-LIC-70337 | MT | |
| Internal Medicine Physician | 207R00000X | 35354 | SC | |
| Internal Medicine Physician | 207R00000X | MED-PHYS-LIC-70337 | MT | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MED-PHYS-LIC-70337 | MT | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 60172 | KY | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 35354 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.