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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Marcie Shea (NPI 1083864888)

Field	Value
Entity Type	Individual
Organization	Marcie Shea
Address	Dr. Marcie Shea C/o Western Missouri Medical Center Bri
City	Warrensburg
State	MO
ZIP	64093
Taxonomy	Psychiatry Physician
NPI Enumerated	September 29, 2008

Payer Source	Total Paid
Medicare	$40.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	710	$30	$18.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	90	$120	$11.4K
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…	130	$40	$5.3K
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…	50	$60	$3.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$120	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Marcie Shea — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,129	8,960	100	$80	$13.9K
99213	2,558	8,730	70	$50	$7K
90792	18	150	20	$130	$5.4K
90791	99	150	20	$110	$3.9K
99212	7	1,930	30	$30	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philip Khoury	MO	Psychiatry Physician	$34.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West-central Independent Living Solutions	MO	Home Health Agency	$0	$50.9M
Expanding Horizons Community Services LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.1M
Abilities LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23.9M
Western Missouri Medical Center	MO	General Acute Care Hospital	$0	$9.7M
Rise Community Services	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.8M
District Iii Area Agency On Aging	MO	Home Delivered Meals	$0	$7.1M
Johnson County Board Of Services	MO	Case Management Agency	$0	$5.8M
Johnson County Missouri Ambulance	MO	Land Ambulance	$738.6K	$4.5M
Novamed Surgery Center Of Warrensburg LLC	MO	Ambulatory Surgical Clinic/Center	$724.1K	$2.4K
Cedar Oaks Surgery Center LLC	MO	Ambulatory Surgical Clinic/Center	$266K	$0

Marcie Shea — Billing Profile & Reimbursement Data

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Marcie Shea — 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