CLAYTON SHAMBLIN, M.D.
Pulmonary Disease Physician · SIMPSONVILLE, SC
Individual Active NPI 1306929799
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 300 | 748 | $202,861 | $69,366 | $53,955 |
| 2023 | 328 | 804 | $175,396 | $68,104 | $53,080 |
| 2022 | 301 | 772 | $201,354 | $78,594 | $60,933 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94010 | Test to measure expiratory airflow and volume | 82 | $22 | $17 |
| 99291 | Critical care, first 30-74 minutes | 80 | $200 | $159 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 74 | $118 | $86 |
| 94729 | Test to examine how well the lungs exchange gases | 72 | $42 | $33 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 67 | $160 | $125 |
| 94618 | Test for exercise-induced lung stress | 66 | $31 | $25 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 34 | $111 | $89 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 28 | $46 | $36 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 21 | $61 | $50 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 | $85 | $61 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | $157 | $117 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | $162 | $129 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 29001 | SC |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 29001 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.