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

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

James Shepard (NPI 1265844112)

Field	Value
Entity Type	Individual
Organization	James Shepard
Address	4755 Ogletown-stanton Road
City	Newark
State	DE
ZIP	19718
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 27, 2014

Payer Source	Total Paid
Medicare	$57.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	340	$140	$47.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	90	$100	$9.5K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$70	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

James Shepard — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	10	500	50	$130	$10.4K
99222	100	600	40	$100	$5.6K
99221	116	160	20	$60	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Hospital Of Cecil County	MD	Internal Medicine Physician	$0	$4.9M
Union Hospital Of Cecil County	MD	General Acute Care Hospital	$182.5K	$1.7M
Wasif Qureshi	DE	Cardiovascular Disease Physician	$683.6K	$0
Mohammad Khan	DE	Pediatrics Physician	$0	$669.4K
Mark Zweben	DE	Cardiovascular Disease Physician	$586.6K	$0
Francis Palermo	DE	Cardiovascular Disease Physician	$559.8K	$8K
Christopher Bowens	DE	Cardiovascular Disease Physician	$481.5K	$0
Yuanyuan Zhang	DE	Internal Medicine Physician	$417.5K	$0
Kent Krejci	MD	Urology Physician	$352.6K	$0
Mehdi Gheshlaghi	WY	Cardiovascular Disease Physician	$348.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors For Emergency Service	DE	Emergency Medicine Physician	$0	$20.2M
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Emergency Physicians LLC	DE	Emergency Medicine Physician	$0	$2.8M
Christiana Care Health Services Inc	DE	Pediatrics Physician	$0	$1.9M
Christiana Care Health Services Inc	DE	Gastroenterology Physician	$0	$852.9K
Neil Gambill	DE	Diagnostic Radiology Physician	$735.4K	$0
Christiana Care Health Services, Inc	DE	Hospice and Palliative Medicine (Internal Medicine) Physician	$0	$578K
Kevin Copeland	DE	Internal Medicine Physician	$522.3K	$0
Delaware Clinical & Laboratory Physicians, PA	DE	Anatomic Pathology & Clinical Pathology Physician	$0	$520.7K
Jacqueline Holt	DE	Diagnostic Radiology Physician	$447.7K	$0

James Shepard — Billing Profile & Reimbursement Data

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James Shepard — 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