Physician

Philip D Shelton, M.D.

According to 2025 Medicare claims, Philip Shelton, M.D. (NPI: 1881672392) practices diagnostic radiology in the Yuba City, CA market, with the plurality of this provider's patient population coming from Sutter, CA. This provider's primary affiliated billing organization is SUTTER VALLEY MEDICAL FOUNDATION (NPI: 1992939565; TIN: 680273974) and primary practice location at 95991-5071. Shelton is affiliated with the Sutter Medicare Direct (ACO ID: A5279), participating under the MSSP model.

Shelton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,541 traditional Medicare patients, billed 4,536 HCPCS/CPT codes, and received $160,638 in Medicare payments. The top billing code was 71250 (Ct scan of chest without contrast). No Open Payments records. 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 fallen sharply in recent years, from $617,131 to $160,638. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$344K$689K2015 Medicare payment: $617,131 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $614,600 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $663,262 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $609,958 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $688,775 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $533,948 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $539,731 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $453,357 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $296,149 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $160,638 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154,09145,486$617,131
20164,16840,537$614,600
20174,42940,281$663,262
20184,55539,591$609,958
20194,94345,479$688,775
20204,15029,769$533,948
20214,27029,105$539,731
20223,95021,538$453,357
20232,99815,397$296,149
20242,5414,536$160,638

Part D Events Trend

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

No connected Part D records

No connected Part D records

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
71250Ct scan of chest without contrast198205$71
73564X-ray of knee, 4 or more views153192$29
72100X-ray of lower and sacral spine, 2-3 views241291$25
73630X-ray of foot, minimum of 3 views150178$21
71046X-ray of chest, 2 views449485$17

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Philip D. Shelton, M.D.?

Tedicare shows public-source Medicare data for Philip D. Shelton, M.D. (NPI 1881672392), 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 Philip D. Shelton, M.D. have ACO affiliation data?

Philip D. Shelton, M.D. is shown with ACO affiliation data for Sutter Medicare Direct (MSSP, ACO ID A5279).

What billing organization is linked to Philip D. Shelton, M.D.?

Philip D. Shelton, M.D. is linked to SUTTER VALLEY MEDICAL FOUNDATION (billing NPI 1992939565) in the available physician profile data.

Does Philip D. Shelton, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.