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.

Sheena Mbachu (NPI 1225423841)

Field	Value
Entity Type	Individual
Organization	Sheena Mbachu
Address	2701 17th St
City	Rock Island
State	IL
ZIP	61201
Taxonomy	Hospitalist Physician
NPI Enumerated	March 31, 2015

Payer Source	Total Paid
Medicare	$21.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	110	$140	$16.1K
G0508	Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth	30	$170	$5.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Sheena Mbachu — 1 of 2 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

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	1,229	6,190	50	$140	$10.4K
G0508	1	10	20	$160	$3.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meriter Hospital, Inc.	WI	General Acute Care Hospital	$0	$25.5M
The Finley Hospital	IA	General Acute Care Hospital	$0	$14.1M
The Finley Hospital	IA	Emergency Medicine Physician	$0	$3.9M
Grinnell Regional Medical Center	IA	General Acute Care Hospital	$0	$2.2M
The Finley Hospital	IA	Family Medicine Physician	$0	$2M
Mustafa Ali	DC	Internal Medicine Physician	$135.4K	$909.4K
Joseph Banno	IL	Urology Physician	$891.5K	$15.7K
Grinnell Regional Medical Center	IA	Family Medicine Physician	$0	$862.9K
Steven Heddinger	IA	Medical Oncology Physician	$830.4K	$0
Ahmad El-far	FL	Hematology & Oncology Physician	$814.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Robert Young Center For Community Mental Health	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.5M
Transitions Nfp	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.2M
The Robert Young Center For Community Mental Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.1M
Michael Spears	IL	Anatomic Pathology & Clinical Pathology Physician	$13.2K	$4.8M
Community Health Care, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$4.4M
City Of Rock Island	IL	Land Ambulance	$318.8K	$4M
Nikhil Wagle	IL	Ophthalmology Physician	$836.7K	$0
Bhanu Ravindran	IL	Internal Medicine Physician	$168.3K	$434.2K
Navaneet Chailerborisuth	IL	Ophthalmology Physician	$385.6K	$7K
Brenna Kitzmann	IL	Optometrist	$75.7K	$115.8K

Sheena Mbachu — Billing Profile & Reimbursement Data

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Sheena Mbachu — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References