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    OpenPayerNPI Medicare & MedicaidQuentin Shambley
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    Quentin Shambley — Billing Profile & Reimbursement Data

    NPI 1093935538 · Phoenix, AZ · Psychiatric/Mental Health Nurse Practitioner

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    Quentin Shambley is a psychiatric/mental health nurse practitioner provider located in Phoenix, Arizona. This profile covers 16 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationQuentin Shambley
    Address3227 E Bell Rd
    CityPhoenix
    StateAZ
    ZIP85032
    TaxonomyPsychiatric/Mental Health Nurse Practitioner
    NPI EnumeratedApril 26, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$314.3K
    Medicare$183.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…800$60$49.7K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…520$80$40.4K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…220$120$26K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…450$50$20K
    99491The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…330$50$17.3K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…90$70$6.6K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…110$50$5.2K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…60$90$5.1K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…50$80$4.2K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…20$130$2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930974440220$70$32.4K
    9931010724080$110$22.6K
    993494537090$80$17.9K
    9935021524070$120$17.6K
    9930858300130$50$16K
    99491630100$50$15.7K
    993063230050$130$12.8K
    99305379040$100$8.1K
    993486126050$50$6.5K
    993458812020$130$4.4K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…4,930$40$177.3K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…2,550$30$71.4K
    99356N/A2,070$20$47.7K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…330$50$16.1K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…130$20$2.9K
    99335N/A20$30$440
    99336N/A10$20$240

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…58170960$40$295.2K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…18110330$60$157.2K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…131170670$30$120.6K
    99336N/A6870410$30$73K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…47120130$80$61.4K
    99356N/A32070$30$31K
    99335N/A5360320$30$30.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Morris HamburgAZAdult Health Nurse Practitioner$913K$0
    Dheeraj BobbaAZPrimary Care Clinic/Center$560.4K$0
    Harish NandipatiAZInternal Medicine Physician$510.8K$0
    Daniel ItanoAZFamily Medicine Physician$311.6K$43.7K
    Muhammad SethiAZEndocrinology, Diabetes & Metabolism Physician$332.4K$0
    Gregory ScallonAZPhysician Assistant$303.3K$0
    Arun LakshmipathyAZInternal Medicine Physician$290.5K$0
    Thomas ParksTXPhysical Medicine & Rehabilitation Physician$264.2K$0
    Terrence MontgomeryAZFamily Nurse Practitioner$244.2K$0
    Adam BosakAZPulmonary Disease Physician$225.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Hope Of Arizona, IncAZCommunity/Behavioral Health Agency$0$50.2M
    Privia Medical Group Arizona, LLCAZFamily Medicine Physician$0$45.6M
    Clinica La Familia, PCAZInternal Medicine Physician$0$39.4M
    Urgent Home Care IncAZNursing Facility/Intermediate Care Facility$0$32.6M
    View Point Sunshine Village LLCAZAlzheimer Center (Dementia Center)$0$29.4M
    Radadvantage A Professional CorporationAZDiagnostic Radiology Physician$0$28.3M
    Vhs Acquisition Subsidiary Number 1 IncAZGeneral Acute Care Hospital$0$24.3M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$16.2M
    Arizona Arthritis & Rheumatology Associates P CAZRheumatology Physician$0$11.2M
    Honorhealth Medical Group, LLCAZFamily Medicine Physician$0$10.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Quentin Shambley — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Quentin Shambley — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona