CARL SHEALY, MD
Nephrology Physician · COLUMBIA, SC
Individual Active NPI 1861467235
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 522 | 3,738 | $550,524 | $208,875 | $165,747 |
| 2023 | 478 | 2,879 | $497,228 | $189,230 | $149,260 |
| 2022 | 502 | 2,726 | $508,839 | $194,979 | $153,898 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 331 | $74 | $59 |
| 80069 | Kidney function blood test panel | 330 | $9 | $9 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 313 | $8 | $8 |
| 84156 | Total protein level, urine | 296 | $4 | $4 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 292 | $5 | $5 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 287 | $95 | $62 |
| 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 | 265 | $16 | $12 |
| 83970 | Parathormone (parathyroid hormone) level | 231 | $40 | $40 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 209 | $334 | $267 |
| 36415 | Insertion of needle into vein for collection of blood sample | 173 | $9 | $9 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 161 | $112 | $89 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 124 | $57 | $45 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 23581 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in South Carolina
- NPI 1629235700
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- NPI 1699942169
- NPI 1811292055
- NPI 1457565913
- NPI 1922310143
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.