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

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

Michael Shane (NPI 1225284888)

Field	Value
Entity Type	Individual
Organization	Michael Shane
Address	5841 S Maryland Ave
City	Chicago
State	IL
ZIP	60637
Taxonomy	Anesthesiology Physician
NPI Enumerated	August 14, 2008

Payer Source	Total Paid
Medicare	$21.4K
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
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$200	$3.5K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$170	$3.1K
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	60	$50	$2.6K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$100	$2.3K
00410	The provider performs anesthesia services for a patient undergoing a procedure on the skin of the upper and lower limbs, the front aspect of the chest and abdomen, or the perineum. For this code, the…	50	$50	$2.1K
00402	The provider performs anesthesia services for a patient undergoing a procedure on the integumentary system on the extremities, anterior trunk and perineum, including reconstructive procedures on the…	10	$150	$1.8K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	30	$60	$1.6K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$60	$1.3K
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	20	$70	$1.1K
00902	The provider performs anesthesia services for a procedure involving the anus or rectum.	10	$70	$890

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. Illinois Distribution

Michael Shane — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	287	1,120	30	$80	$4.6K
00902	36	40	20	$110	$3.5K
00811	660	1,380	20	$80	$2.8K
00790	53	290	10	$190	$2.8K
00840	29	180	10	$150	$2.3K
00731	597	1,700	20	$80	$2.2K
01922	42	280	20	$120	$2K
00402	1	10	10	$150	$1.8K
76942	490	510	30	$40	$1.4K
00400	38	120	10	$80	$1.3K

Showing 1–10 of 12

Michael Shane — Billing Profile & Reimbursement Data

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Michael Shane — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References