Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Joseph Shanahan (NPI 1043394901)

Field	Value
Entity Type	Individual
Organization	Joseph Shanahan
Address	2222 E Nc Highway 54 Ste 200
City	Durham
State	NC
ZIP	27713
Taxonomy	Rheumatology Physician
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3262	Injection, tocilizumab, 1 mg	150,080	$10	$750.4K
J1602	Injection, golimumab, 1 mg, for intravenous use	44,300	$10	$487.3K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	7,000	$30	$231K
J0897	Injection, denosumab, 1 mg	9,180	$20	$165.2K
J3111	Injection, romosozumab-aqqg, 1 mg	9,870	$10	$79K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	740	$90	$67.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	730	$90	$65K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	250	$130	$31.5K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	440	$50	$22.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	100	$60	$5.9K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Joseph Shanahan — 6 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	45	70	9,530	$30	$393.2K
J3262	1	40	37,160	$1	$224.8K
J1602	3	70	11,900	$10	$175.9K
J3111	24	30	13,970	$10	$135.8K
J0897	33	430	2,100	$20	$63.9K
96413	5	280	90	$90	$15.8K
99214	684	18,060	110	$80	$15.1K
96401	8	80	120	$50	$9.5K
99215	261	5,720	40	$110	$7.7K
99213	6,273	16,320	70	$50	$7.1K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Joseph Shanahan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cmc Department Of Medicine Group PA	NJ	Specialist	$0	$77.4M
Cooper Surgical Associates, PA	NJ	Surgery Physician	$0	$34.7M
Mark Harris	NC	Rheumatology Physician	$3M	$0
Daniel Delo	NC	Rheumatology Physician	$2.8M	$0
Gregory Borstad	NC	Rheumatology Physician	$1.6M	$0
Mutahir Abidi	NJ	Rheumatology Physician	$1.6M	$0
Jason Marquart	MD	MOHS-Micrographic Surgery Physician	$1.5M	$0
Wamiq Sultan	PA	Nephrology Physician	$978.6K	$143.8K
John Herion	SC	Internal Medicine Physician	$1.1M	$0
Wendy Simmons	NC	Rheumatology Physician	$847.7K	$0

Nearby Providers

Other providers in the same ZIP code as Joseph Shanahan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
B & D Integrated Health Services	NC	Federally Qualified Health Center (FQHC)	$0	$48.8M
Carolina Center For Autism Services, LLC	NC	Behavior Analyst	$0	$41M
Upward Change Health Services, LLC	NC	Community/Behavioral Health Agency	$0	$18.9M
Amy C. Davidian, Dds, PA	NC	Pediatric Dentistry	$0	$15.4M
Community Care Service LLC	NC	Community/Behavioral Health Agency	$0	$11.5M
Carolina Community Support Services, Inc.	NC	Community/Behavioral Health Agency	$0	$11.1M
Med-el Corporation	NC	Durable Medical Equipment & Medical Supplies	$3.2M	$6.4M
B & D Integrated Health Services	NC	Family Medicine Physician	$0	$8.9M
Kc Care Management,inc.	NC	Adult Care Home Facility	$0	$8.3M
Greg J. Perentis Dds. PLLC	NC	Dentist	$0	$8.1M

Joseph Shanahan — Billing Profile & Reimbursement Data

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Joseph Shanahan — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References