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NPI 1306314778 · Mattoon, IL · Family Nurse Practitioner
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Kristy Shafer is a family nurse practitioner provider located in Mattoon, Illinois. This profile covers 11 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kristy Shafer |
| Address | 1000 Health Center Dr Ste 107 |
| City | Mattoon |
| State | IL |
| ZIP | 61938 |
| Taxonomy | Family Nurse Practitioner |
| NPI Enumerated | November 5, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $75.7K |
| Medicare | $57.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 370 | $70 | $27.5K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 120 | $110 | $12.1K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 30 | $140 | $4.1K |
| 99483 | The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and… | 20 | $160 | $3.2K |
| 11104 | The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions. | 40 | $80 | $3.2K |
| 11105 | The provider biopsies an additional or separate skin lesion after the first using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin… | 80 | $40 | $2.9K |
| 96132 | The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in… | 20 | $90 | $2K |
| 96133 | The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for… | 20 | $70 | $1.3K |
| 96138 | A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method. | 30 | $20 | $550 |
| 96139 | A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes. | 20 | $20 | $350 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 3,007 | 18,540 | 110 | $80 | $17.1K |
| 99483 | 27 | 30 | 50 | $190 | $12.7K |
| 96133 | 118 | 120 | 120 | $70 | $12.5K |
| 99215 | 1,230 | 6,240 | 40 | $120 | $10.1K |
| 96139 | 54 | 60 | 230 | $30 | $7.6K |
| 96132 | 105 | 140 | 50 | $100 | $6K |
| 99205 | 1,195 | 2,730 | 30 | $160 | $5.7K |
| 11104 | 50 | 280 | 20 | $80 | $2.8K |
| G2212 | 250 | 290 | 30 | $20 | $1.5K |
| 96138 | 45 | 60 | 40 | $30 | $1.4K |
Showing 1–10 of 11
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,590 | $40 | $69.7K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 100 | $50 | $5.5K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,257 | 14,680 | 300 | $50 | $48.7K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 958 | 2,320 | 70 | $50 | $13.8K |
Other providers in the same ZIP code as Kristy Shafer, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Coles County Mental Health Association, Inc. | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $17.2M |
| Hoopeston Community Memorial Hospital | IL | Rural Health Clinic/Center | $0 | $7.5M |
| Mitchell-jerdan Funeral Home Ltd | IL | Land Ambulance | $449.5K | $3M |
| Air Evac Ems, Inc. | IL | Air Ambulance | $879.9K | $189.7K |
| Naresh Nekkanti | IL | Family Medicine Physician | $53.1K | $780.4K |
| Ragai Mitry | IL | Interventional Pain Medicine Physician | $157K | $571.1K |
| Constantine Katsamakis | IL | Cardiovascular Disease Physician | $242.2K | $309.6K |
| Louis Mendella | IL | Orthopaedic Surgery Physician | $334.1K | $199.5K |
| Dawn Miesner | IL | Family Medicine Physician | $43K | $437.6K |
| Ryan Pine | IL | Ophthalmology Physician | $451.7K | $640 |
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