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

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

Shawn Hill (NPI 1205224276)

Field	Value
Entity Type	Individual
Organization	Shawn Hill
Address	555 W Sr 164
City	Salem
State	UT
ZIP	84653
Taxonomy	Physician Assistant
NPI Enumerated	December 29, 2014

Payer Source	Total Paid
Medicare	$61.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	530	$70	$39.4K
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…	210	$50	$10.6K
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…	30	$110	$3.6K
94618	The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.	100	$20	$2.1K
99232	The 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…	40	$50	$1.9K
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…	20	$80	$1.9K
99442	N/A	20	$50	$870
83880	The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…	20	$40	$610
99441	N/A	10	$30	$320
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	40	$10	$280

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Shawn Hill — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	182	4,080	80	$80	$11.6K
99215	650	1,190	40	$110	$7.5K
99213	519	3,680	60	$50	$6.4K
99232	590	880	60	$60	$6.1K
99204	977	1,790	30	$100	$4.1K
83880	26	40	20	$40	$3K
99442	14	20	20	$50	$1.8K
36415	540	870	50	$10	$1.6K
85025	450	470	50	$10	$1.5K
80048	93	120	30	$10	$1.2K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids Who Count	UT	Developmentally Disabled Services Day Training Agency	$0	$3.2M
Kids Who Count	UT	Behavior Analyst	$0	$531.6K
Garry Miller	UT	Internal Medicine Physician	$202.2K	$660
Jackie Bringhurst	UT	Family Nurse Practitioner	$165K	$0
Troy Lunceford	UT	Internal Medicine Physician	$155.7K	$0
Tala'at Al-shuqairat	UT	Pulmonary Disease Physician	$147.9K	$2.4K
Reed Garza	UT	Dermatology Physician	$141.4K	$1.6K
Jarrett Hammer	UT	Family Medicine Physician	$53.4K	$31.8K
Christopher Gessel	UT	Family Nurse Practitioner	$79K	$0
Alan Erdmann	UT	Gastroenterology Physician	$69.9K	$5.7K

Shawn Hill — Billing Profile & Reimbursement Data

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Shawn Hill — 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