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

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

John Shemo (NPI 1194754739)

Field	Value
Entity Type	Individual
Organization	John Shemo
Address	2496 Old Ivy Road
City	Charlottesville
State	VA
ZIP	22903
Taxonomy	Addiction Psychiatry Physician
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicare	$135.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	700	$130	$88.3K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	690	$70	$45.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$150	$1.8K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	30	$10	$410

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

John Shemo — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	24	4,030	40	$120	$9.5K
90836	1	30	80	$60	$8K
99205	1,431	1,620	30	$150	$5.7K
90785	10	20	40	$10	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Ten Community Community Services Board	VA	Community/Behavioral Health Agency	$0	$116.8M
Rector & Visitors Of The University Of Virginia	VA	Home Infusion Agency	$0	$10.3M
City Of Charlottesville	VA	Ambulance	$349.8K	$1.4M
Nader Moinfar	VA	Ophthalmology Physician	$1.4M	$0
Joon Suk Hwang	VA	Podiatrist	$368K	$880
Andrew Pittner	VA	Ophthalmology Physician	$353.8K	$0
Matthew Holland	VA	Pain Medicine (Anesthesiology) Physician	$299.7K	$0
Albert Jun	VA	Ophthalmology Physician	$245.8K	$0
Lindsay Friesen	VA	Internal Medicine Physician	$204.8K	$0
Justin Smith	VA	Neurological Surgery Physician	$195.2K	$0

John Shemo — Billing Profile & Reimbursement Data

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John Shemo — 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