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    OpenPayerNPI Medicare & MedicaidJames Shehan
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    James Shehan — Billing Profile & Reimbursement Data

    NPI 1316041734 · Omaha, NE · Dermatology Physician

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    James Shehan is a dermatology physician provider located in Omaha, Nebraska. This profile covers 29 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Shehan
    Address12910 Pierce St Ste 120
    CityOmaha
    StateNE
    ZIP68144
    TaxonomyDermatology Physician
    NPI EnumeratedSeptember 8, 2006

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

    Payer SourceTotal Paid
    Medicare$401.5K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…270$450$118.5K
    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…1,440$60$83.4K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.170$300$50.4K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.440$60$26.2K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.680$30$22.9K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…300$70$20.3K
    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…120$70$7.5K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…1,440$10$7.2K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.40$180$7K
    12051This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.60$110$6.6K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311720170$410$86.1K
    8830580100860$30$35.7K
    17312620100$290$34K
    992142,1693,210110$70$14.9K
    13132112030$230$11.6K
    1711020110120$60$10.7K
    111024110120$50$8.7K
    1700017170110$30$8.2K
    12032145030$190$8K
    99213123,22090$50$7.9K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oneworld Community Health Centers, Inc.NEFederally Qualified Health Center (FQHC)$0$45.1M
    Alegent Creighton ClinicNEFamily Medicine Physician$0$43.2M
    Alegent Creighton ClinicIAFamily Medicine Physician$0$9.6M
    Samer RennoNEHematology & Oncology Physician$3.2M$0
    Inaganti ShahNEHematology & Oncology Physician$2M$0
    Timothy DoriusNEInternal Medicine Physician$1M$0
    Logan HelgeNEFamily Nurse Practitioner$996.6K$0
    Nagendra NatarajanNEHematology & Oncology Physician$934.8K$0
    Advanced Dermatology Of The Midlands PCNEDermatology Physician$0$493.6K
    Benjamin HallNEGastroenterology Physician$388.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radiology Consultants PCNEDiagnostic Radiology Physician$0$10M
    Omaha Insomnia And Psychiatric Services, LLCNEPsychiatry Physician$0$1.9M
    Becker Counseling Services LLCNEMental Health Counselor$0$1.3M
    Summit Dental Health - Oakview, LLCNEGeneral Practice Dentistry$0$1.2M
    Elite Professionals Home Care LLCNEHome Health Agency$0$1.1M
    Shoptikal LLCNEEyewear Supplier$0$987.5K
    Pedodontics, PCNEPediatric Dentistry$0$839.9K
    Nebraska Home Health - Opco LLCNEHome Health Agency$0$828K
    Nebraska Orthopaedic Hospital LLCNEGeneral Acute Care Hospital$0$787.6K
    Diamond Chiropractic & Acupuncture, LLCNEChiropractor$0$684.7K

    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. Nebraska Distribution
    James Shehan — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska