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.

Douglas Shepherd (NPI 1215962337)

Field	Value
Entity Type	Individual
Organization	Douglas Shepherd
Address	524 E 800 N
City	Ogden
State	UT
ZIP	84404
Taxonomy	Physical Therapist
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicare	$70K
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
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,610	$20	$27.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	860	$30	$23.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	980	$20	$15.6K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	530	$10	$4.2K

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. Utah Distribution

Douglas Shepherd — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	83	640	410	$20	$13.3K
97530	62	370	290	$20	$12.1K
97140	58	500	280	$20	$6.8K
97035	4	60	110	$10	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Schools For The Deaf And The Blind	UT	Local Education Agency (LEA)	$0	$6M
Gardens Retirement Home	UT	Assisted Living Facility	$0	$5.2M
Bristol Hospice - Utah, L.L.C.	UT	Community Based Hospice Care Agency	$0	$3.7M
Cameron Quayle	UT	Pediatric Dentistry	$0	$3.1M
Utah Schools For The Deaf And The Blind	UT	Local Education Agency (LEA)	$0	$2.5M
Welltower Tenant Group, LLC	UT	Assisted Living Facility	$0	$2.2M
Mountain View Pediatric Dentistry LLC	UT	Dental Clinic/Center	$0	$987.7K
Weber-morgan Early Intervention	UT	Developmentally Disabled Services Day Training Agency	$0	$720.5K
Monarch Therapy	UT	Community/Behavioral Health Agency	$0	$602.1K
Aloha Behavioral Consultants, Inc.	UT	Clinical Social Worker	$0	$515.9K

Douglas Shepherd — Billing Profile & Reimbursement Data

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Douglas Shepherd — 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