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

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

Shay Fish (NPI 1134217516)

Field	Value
Entity Type	Individual
Organization	Shay Fish
Address	420 Water St
City	Kerrville
State	TX
ZIP	78028
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicare	$254.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,090	$70	$70.5K
11000	The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.	580	$40	$22.7K
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…	210	$90	$18.7K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	250	$70	$18.2K
99203	The provider sees a new 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 provider…	240	$70	$17.6K
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,…	350	$40	$14.1K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	470	$30	$11.8K
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	40	$190	$7.7K
99204	The provider sees a new 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 provider…	60	$120	$7.6K
11750	The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.	60	$110	$6.2K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Shay Fish — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11765	27	50	50	$100	$18K
99214	10,267	32,500	110	$80	$17.6K
97110	3,603	3,610	450	$20	$14K
17110	928	1,250	110	$70	$12.1K
28285	21	80	30	$370	$11.9K
11721	254	630	140	$30	$9K
99213	264	29,790	70	$60	$8.4K
11056	197	320	70	$60	$8K
G0127	37	80	200	$10	$6.6K
97597	32	380	60	$60	$5.9K

Showing 1–10 of 36

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hill Country Community Mhmr Center	TX	Community/Behavioral Health Agency	$0	$18.8M
Pathways Youth & Family Services, Inc.	TX	Counselor	$0	$13.5M
City Of Kerrville	TX	Land Ambulance	$1.1M	$551K
Rebecca Barrington	TX	Medical Oncology Physician	$1.2M	$0
Kerrville Ambulatory Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1M	$0
Valerian Chyle	TX	Radiation Oncology Physician	$915.7K	$0
Anil Singh	TX	Hematology & Oncology Physician	$818.8K	$0
Air Evac Ems Inc	TX	Air Ambulance	$774.8K	$0
Michael Barker	TX	Diagnostic Radiology Physician	$636.9K	$0
Russell Cravey	TX	Ophthalmology Physician	$582.4K	$0

Shay Fish — Billing Profile & Reimbursement Data

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Shay Fish — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References