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

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

Shaun Spalding (NPI 1154533248)

Field	Value
Entity Type	Individual
Organization	Shaun Spalding
Address	2865 Daggett Ave
City	Klamath Falls
State	OR
ZIP	97601
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicare	$27.2K
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
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	140	$80	$11.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	60	$130	$7.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	$150	$5.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	$50	$1.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	$30	$840

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. Oregon Distribution

Shaun Spalding — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	445	680	90	$130	$13.7K
99291	354	740	30	$160	$8.5K
99284	40	740	50	$80	$5.5K
99283	100	390	20	$50	$1.5K
99282	6	30	20	$30	$720

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sky Lakes Medical Center Inc	OR	General Acute Care Hospital	$0	$30.3M
Mihaela Matei	CO	Hematology & Oncology Physician	$1.3M	$0
David Greenberg	OR	Diagnostic Radiology Physician	$997.3K	$0
Joseph Poole	NM	Nurse Practitioner	$554.4K	$0
Steven Michel	OR	Diagnostic Radiology Physician	$541.9K	$0
Laurie Martin	OR	Diagnostic Radiology Physician	$437.3K	$0
Matthew Bentz	OR	Diagnostic Radiology Physician	$403.4K	$0
Jozef Brozyna	OR	Diagnostic Radiology Physician	$359.4K	$0
Kendall Michels	OR	Specialist	$306.1K	$0
Traci Clautice-engle	OR	Diagnostic Radiology Physician	$301.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Klamath Child And Family Treatment Center	OR	Voluntary or Charitable Agency	$0	$16.2M
Klamath County Fire District No 1	OR	Ambulance	$880.4K	$2.8M
Best Care Treatment Services	OR	Substance Abuse Rehabilitation Facility	$0	$2.3M
Lutheran Community Services Northwest	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Klamath Counseling Services	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
David H Panossian Md PC	OR	Sleep Specialist (PhD)	$0	$1.6M
Klamath Ophthalmology PC	OR	Ophthalmology Physician	$0	$1.6M
Klamath Health Partnership Inc	OR	Federally Qualified Health Center (FQHC)	$0	$1.2M
Full Circle Healing	OR	Community/Behavioral Health Agency	$0	$1.1M
Scott Stevens	OR	Ophthalmology Physician	$758.7K	$0

Shaun Spalding — Billing Profile & Reimbursement Data

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Shaun Spalding — 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