MATTHEW SHEA, DO
Nephrology Physician · SOMERSET, KY
Individual Active NPI 1700270949
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 313 | 1,000 | $347,844 | $180,687 | $133,062 |
| 2023 | 342 | 1,298 | $429,087 | $224,553 | $169,601 |
| 2022 | 403 | 1,510 | $428,027 | $224,655 | $173,929 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 274 | $326 | $242 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 214 | $118 | $80 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 127 | $73 | $59 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 97 | $111 | $87 |
| 90935 | Hemodialysis procedure with physician evaluation | 69 | $66 | $52 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 60 | $155 | $101 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 57 | $162 | $125 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 26 | $273 | $213 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | $122 | $97 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 04163 | KY |
| Internal Medicine Physician | 207R00000X | 04163 | KY |
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.