Physician

Keith D Shealy, M.D.

According to 2025 Medicare claims, Keith Shealy, M.D. (NPI: 1578557153) practices family practice in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Lancaster, SC. This provider's primary affiliated billing organization is MACKEY FAMILY PRACTICE, PA (NPI: 1265426167; TIN: 571008067) and primary practice location at 29720-2204. Shealy is affiliated with the Wellvana Premier Care, LLC (ACO ID: D0332), participating under the REACH model.

Shealy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,165 traditional Medicare patients, billed 22,647 HCPCS/CPT codes, and received $598,623 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 13,026 prescription claims across 906 beneficiaries totaling $951,096 in drug costs, led by Eliquis (Apixaban). DME data shows 1,159 claims. Open Payments data shows 46 records totaling $885. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $346,488 to $598,623. In contrast, Part D prescription costs have declined steadily, from $1,686,172 to $951,096. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $95,969 to $58,311.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,401	13,228	$346,488
2016	1,661	15,504	$451,616
2017	1,598	15,119	$452,641
2018	1,421	12,906	$397,762
2019	1,328	12,051	$405,244
2020	1,216	10,514	$355,180
2021	3,657	19,699	$546,914
2022	1,310	10,570	$405,263
2023	1,085	18,772	$550,496
2024	1,165	22,647	$598,623

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	1,129	30,365	$1,686,172
2016	1,234	31,703	$1,651,594
2017	1,176	29,146	$1,500,823
2018	1,160	24,047	$1,381,453
2019	1,033	17,596	$1,109,313
2020	881	14,446	$992,734
2021	922	12,919	$983,628
2022	1,005	13,707	$1,184,514
2023	996	13,476	$1,204,329
2024	906	13,026	$951,096

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	581	1,526	$107,555
2016	696	2,171	$120,201
2017	719	2,258	$85,210
2018	560	2,274	$53,343
2019	511	1,626	$40,539
2020	462	1,600	$40,554
2021	389	1,395	$37,050
2022	286	1,091	$34,025
2023	228	940	$45,280
2024	303	1,159	$45,273

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	635	1,579	$78
80061	Blood test, lipids (cholesterol and triglycerides)	342	713	$13
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	467	899	$10
36415	Insertion of needle into vein for collection of blood sample	441	978	$9
80048	Blood test, basic group of blood chemicals (calcium, total)	354	755	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	188	9,205	$176,365
Ozempic	Semaglutide	56	2,646	$83,883
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	50	2,640	$56,788
Trulicity	Dulaglutide	33	1,278	$41,804
Januvia	Sitagliptin Phosphate	24	1,440	$27,171

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	19	127	$8,254
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	19	$7,152
K0001	Standard wheelchair	Y	47	242	$5,023
E2611	General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware	N	17	17	$2,651
K0007	Extra heavy duty wheelchair	Y	N/R	33	$2,572

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	46	$885	Exact Sciences Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Keith D. Shealy, M.D.?

Tedicare shows public-source Medicare data for Keith D. Shealy, M.D. (NPI 1578557153), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Keith D. Shealy, M.D. have ACO affiliation data?

Keith D. Shealy, M.D. is shown with ACO affiliation data for Wellvana Premier Care, LLC (REACH, ACO ID D0332).

What billing organization is linked to Keith D. Shealy, M.D.?

Keith D. Shealy, M.D. is linked to MACKEY FAMILY PRACTICE, PA (billing NPI 1265426167) in the available physician profile data.

Does Keith D. Shealy, M.D. have Open Payments data?

Keith D. Shealy, M.D. has 46 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.