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    OpenPayerNPI Medicare & MedicaidJames Shortridge
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    James Shortridge — Billing Profile & Reimbursement Data

    NPI 1205148061 · Salt Lake City, UT · Hematology & Oncology Physician

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    James Shortridge is a hematology & oncology physician provider located in Salt Lake City, Utah. This profile covers 30 Medicare and 4 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
    OrganizationJames Shortridge
    Address1121 E 3900 S
    CitySalt Lake City
    StateUT
    ZIP84124
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 9, 2010

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

    Payer SourceTotal Paid
    Medicare$221.4K
    Medicaid$177.5K

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg5,220$20$94K
    99214The 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…450$90$40.8K
    99213The 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…250$60$14.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…140$100$13.1K
    99215The 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…90$130$11.9K
    J0185Injection, aprepitant, 1 mg7,150$1$7.2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.680$10$6.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…730$10$5.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.80$50$3.7K
    99205The 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…20$170$3K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J089713701,920$20$67.2K
    964132150100$90$13.8K
    992142664,08080$80$11.6K
    J01854106,110$1$10.9K
    992152671,19040$110$7.5K
    992134123,68060$50$6.4K
    96365448090$40$5.2K
    992041,3301,79030$100$4.1K
    9920529046020$140$4K
    963671930160$20$3.8K

    Showing 1–10 of 30

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…150$1,160$176.7K
    99214The 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…50$10$580
    99213The 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…10$10$110
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.20$10$110

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…911201,100$30$186.6K
    99214The 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…9691,340200$80$144K
    99213The 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…1,2261,360190$70$125K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1011002,770$10$75.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Utah Cancer Specialists PCUTMedical Oncology Physician$0$4.2M
    Chase HansenUTRadiation Oncology Physician$523.3K$0
    William NibleyUTMedical Oncology Physician$166K$326K
    James ClarkeUTRadiation Oncology Physician$491.6K$0
    Gregory LittonUTMedical Oncology Physician$208.7K$225.7K
    Xylina GreggUTMedical Oncology Physician$412.9K$0
    John HayesUTRadiation Oncology Physician$329.8K$0
    Thomas SkidmoreUTRadiation Oncology Physician$307.8K$0
    Nitin ChandramouliUTMedical Oncology Physician$297.3K$0
    Nathan RichUTHematology & Oncology Physician$248.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Utah Healthcare CorporationUTGeneral Acute Care Hospital$0$35.7M
    Nomi Health Inc.UTClinical Medical Laboratory$108.9K$9.1M
    Valley Mental Health IncorporatedUTPhysical Disabilities Residential Treatment Facility$0$5M
    ValleylabUTClinical Medical Laboratory$0$2.7M
    Utah Healthcare Institute IncUTFamily Medicine Physician$0$1.9M
    Valley Mental Health IncorporatedUTHome Health Registered Nurse$0$1.3M
    Creek Capital East Gate LLCUTPediatric Dentistry$0$570.9K
    Wasatch Endoscopy Center LtdUTAmbulatory Surgical Clinic/Center$486.9K$62.1K
    St Marks Ambulatory Surgery Associates LPUTAmbulatory Surgical Clinic/Center$512.1K$0
    Adult Care Clinic IncUTAcute Care Nurse Practitioner$0$474.8K

    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. Utah Distribution
    James Shortridge — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    James Shortridge — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah