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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Kristen Shamblin (NPI 1295989119)

Field	Value
Entity Type	Individual
Organization	Kristen Shamblin
Address	331 Laidley St
City	Charleston
State	WV
ZIP	25301
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 5, 2008

Payer Source	Total Paid
Medicare	$71K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	670	$70	$43.5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	200	$100	$19.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$100	$3.3K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	60	$50	$3K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	40	$60	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Kristen Shamblin — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	26	160	160	$70	$26.3K
99310	8	50	80	$100	$12.8K
99308	100	150	110	$50	$10.7K
G0439	397	560	60	$120	$9.3K
99497	57	110	40	$60	$5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alignmed Partners, PC	AL	Geriatric Medicine (Internal Medicine) Physician	$0	$16.8M
Sanjay Bharti	WV	Internal Medicine Physician	$934.5K	$5.9K
Geps Physician Group Of West Virginia PC	WV	Geriatric Medicine (Internal Medicine) Physician	$0	$923.7K
James Toothman	WV	Internal Medicine Physician	$528.3K	$19.8K
Said Sana	WV	Family Medicine Physician	$424.4K	$0
Zaveen Kureishy	WV	Internal Medicine Physician	$295.1K	$0
Cynthia Pinson	WV	Family Medicine Physician	$206.4K	$0
Saad Zafar	WV	Internal Medicine Physician	$198.5K	$0
Jeffrey Holmes	WV	Internal Medicine Physician	$176.8K	$0
Anthony Saweikis	WV	Family Medicine Physician	$146.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Area Medical Center Inc	WV	General Acute Care Hospital	$0	$200.1M
Wv Birth To Three	WV	Early Intervention Provider Agency	$0	$59.9M
Charleston Area Medical Center, Inc.	WV	General Acute Care Hospital	$0	$50.9M
Children's Home Society Of West Virginia	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$44.1M
Kanawha County Emergency Ambulance Authority	WV	Land Ambulance	$2.3M	$31.9M
Maxim Healthcare Services, Inc.	WV	Home Health Agency	$0	$19.9M
All-aid Services, Inc.	WV	Home Health Agency	$0	$16.3M
The Arc Of The Three Rivers, Inc.	WV	Case Management Agency	$0	$15.6M
Retina Consultants, PLLC	WV	Retina Specialist (Ophthalmology) Physician	$0	$13.6M
Dolan & Kalaskey Ltd	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$8.3M

Kristen Shamblin — Billing Profile & Reimbursement Data

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Kristen Shamblin — 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