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    OpenPayerNPI Medicare & MedicaidJoshua Shea
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    Joshua Shea — Billing Profile & Reimbursement Data

    NPI 1255384467 · Atlanta, GA · Physician Assistant

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    Joshua Shea is a physician assistant provider located in Atlanta, Georgia. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJoshua Shea
    Address5671 Peachtree Dunwoody Rd Ne
    CityAtlanta
    StateGA
    ZIP30342
    TaxonomyPhysician Assistant
    NPI EnumeratedMay 18, 2006

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

    Payer SourceTotal Paid
    Medicare$82.3K
    Medicaid$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg3,540$10$17.7K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.530$30$15.4K
    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…270$50$14.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…270$50$12.2K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…300$30$8.6K
    99203The provider sees a new 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 provider…100$60$5.6K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose60$100$5.5K
    J1040Injection, methylprednisolone acetate, 80 mg200$10$1.8K
    73522In this diagnostic procedure, the provider takes three to four X–ray images of both hips, left and right, from different projections (directions or angles) to check for fracture, swelling, or other…10$30$390
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.10$30$320

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73188302,280$10$12.6K
    J7323578080$100$12.1K
    992132,24613,36080$60$9.2K
    206101661,32060$50$5.8K
    992035935,35030$70$3.3K
    73564252050$30$2.3K
    7356279783040$20$1.4K
    73502161,08040$20$1.2K
    J10405943040$10$780
    735227911020$30$600

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles DecookGAOrthopaedic Surgery Physician$759.9K$0
    John ManfrediGAOrthopaedic Surgery Physician$480.6K$0
    Brian SengGAOrthopaedic Surgery Physician$393.8K$0
    Kenneth KressGAOrthopaedic Surgery Physician$343K$0
    Thomas BradburyGAAdult Reconstructive Orthopaedic Surgery Physician$209.9K$0
    Brandon NaylorGAOrthopaedic Surgery Physician$167.7K$0
    George GuildGAOrthopaedic Surgery Physician$166.3K$0
    James BeanGAPhysician Assistant$159.1K$0
    Anuj GuptaGAOrthopaedic Surgery Physician$144K$0
    Robert WoodGAOrthopaedic Surgery Physician$127.3K$0

    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. Georgia Distribution
    Joshua Shea — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia