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

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

Shelley Rapach (NPI 1326540212)

Field	Value
Entity Type	Individual
Organization	Shelley Rapach
Address	7690 Discovery Dr Unit 3500
City	West Chester
State	OH
ZIP	45069
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 6, 2018

Payer Source	Total Paid
Medicare	$9.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	110	$70	$7.9K
99213	The 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…	40	$40	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Shelley Rapach — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	13,310	20,000	70	$50	$6.6K
64615	4	40	50	$90	$5.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abc Pediatric Therapy LLC	OH	Physical Therapist	$0	$30.4M
Healthy Living Treatment, LLC	OH	Substance Abuse Rehabilitation Facility	$0	$20.5M
West Chester Hospital LLC	OH	General Acute Care Hospital	$0	$19.5M
Industry Lab Diagnostic Partners LLC	OH	Clinical Medical Laboratory	$912.3K	$15.9M
Byram Healthcare Centers, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$11.5M
A Haven For Kids, Inc.	OH	Community/Behavioral Health Agency	$0	$10.4M
Catalyst Counseling LLC	OH	Community/Behavioral Health Agency	$0	$7.3M
West Chester Township Trustee	OH	Ambulance	$390K	$695.3K
Soha Mousa	OH	Rheumatology Physician	$979.7K	$0
West Chester Surgical Suites, LLC	OH	Ambulatory Surgical Clinic/Center	$565.2K	$0

Shelley Rapach — Billing Profile & Reimbursement Data

Sign up for Shelley Rapach — Billing Profile & Reimbursement Data policy alerts

Shelley Rapach — Billing Profile & Reimbursement Data

Sign up for Shelley Rapach — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References