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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Shuman
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    Douglas Shuman — Billing Profile & Reimbursement Data

    NPI 1184808032 · Scottsdale, AZ · Internal Medicine Physician

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    Douglas Shuman is a internal medicine physician provider located in Scottsdale, Arizona. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDouglas Shuman
    Address7331 E Osborn Dr
    CityScottsdale
    StateAZ
    ZIP85251
    TaxonomyInternal Medicine Physician
    NPI EnumeratedDecember 27, 2007

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

    Payer SourceTotal Paid
    Medicare$204.3K
    Medicaid$0

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…660$130$85.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…970$60$58.1K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…360$90$30.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…200$90$18.2K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…150$60$9.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992339862,670120$90$21K
    9922392,77050$130$11K
    99232863,16080$60$10.4K
    99239191,23070$90$8.4K
    992221,0452,16030$100$4.2K
    992382058020$60$2.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Affiliated Hospitalists, PlcAZHospitalist Physician$0$21M
    Hani RashidAZRheumatology Physician$1.9M$0
    Alvin MathewAZHospitalist Physician$418.5K$0
    Mian RizwanAZRheumatology Physician$107.5K$295.5K
    Artur MiernikAZHospitalist Physician$386.1K$0
    Greg AlaestanteAZFamily Medicine Physician$190.6K$0
    Dru DethlefsAZInternal Medicine Physician$137K$0
    Bret BitzaAZInternal Medicine Physician$134.2K$0
    Kevin RanumAZInternal Medicine Physician$134K$0
    Debjoti SensharmaAZInternal Medicine Physician$105.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smi Imaging, LLCAZDiagnostic Radiology Physician$0$90.4M
    HonorhealthAZGeneral Acute Care Hospital$0$47M
    Southwest Diagnostic Imaging LLCAZDiagnostic Radiology Physician$0$23.8M
    Kssw IncAZIn Home Supportive Care Agency$0$17.9M
    Head To Toe Therapy IncAZChildren's Hospital$0$11.6M
    Ch Mh Services (az), LLCAZAdolescent and Children Mental Health Clinic/Center$0$10.1M
    Circular Valley Care LLCAZPrivate Vehicle$0$9M
    Hope Light Homecare LLCAZPACE Provider Organization$0$7.9M
    New Horizons Behavioral HealthAZMulti-Specialty Clinic/Center$0$7.3M
    Michael ManningAZAllergy & Immunology Physician$4.6M$0

    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
    Douglas Shuman — 4 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona