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

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

Shelby Mescher (NPI 1336625599)

Field	Value
Entity Type	Individual
Organization	Shelby Mescher
Address	405 S Clark St Ste 205
City	Carroll
State	IA
ZIP	51401
Taxonomy	Nurse Practitioner
NPI Enumerated	July 11, 2018

Payer Source	Total Paid
Medicare	$125.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	1,000	$70	$68.9K
J1306	Injection, inclisiran, 1 mg	5,400	$10	$48.6K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	610	$10	$4.3K
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…	30	$50	$1.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	$10	$180
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20	$1	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Shelby Mescher — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1306	5	10	8,520	$10	$91.8K
99214	75	4,690	100	$70	$14.4K
99213	4,047	4,740	100	$50	$8K
93010	414	490	120	$10	$1.9K
96372	438	520	40	$10	$700
93000	9	570	30	$10	$670

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Health Initiatives-iowa Corp	IA	General Acute Care Hospital	$0	$26.4M
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Catholic Health Initiatives-iowa Corp	IA	Clinical Medical Laboratory	$0	$8M
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
Catholic Health Initiatives-iowa Corp	IA	Clinical Cardiac Electrophysiology Physician	$0	$2.8M
Catholic Health Initiatives - Iowa Corp	IA	General Acute Care Hospital	$0	$1.9M
Christian Schultheis	IA	Medical Oncology Physician	$1.5M	$0
Catholic Health Initiatives-iowa Corp	IA	Diagnostic Radiology Physician	$594.7K	$594.4K
Audubon County Memorial Hospital	IA	Rural Health Clinic/Center	$0	$1.1M
Lindsay Orris	IA	Internal Medicine Physician	$797.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carroll Co Council Prev Child Abuse	IA	Community/Behavioral Health Agency	$0	$51M
New Hope Village, Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.2M
Ability United LLC	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$43.8M
Homecare Options, Inc.	IA	Contractor	$0	$9.1M
Caring Hearts Of West Central Iowa	IA	Community Health Worker	$0	$3.4M
Region Xii Council Of Governments, Inc.	IA	Non-emergency Medical Transport (VAN)	$0	$1.9M
St Anthony Regional Hospital And Nursing Home	IA	Critical Access Hospital	$0	$1.4M
Carroll Community School District	IA	Local Education Agency (LEA)	$0	$1.3M
Carroll County County Auditor	IA	Ambulance	$344K	$824.9K
St Anthony Regional Hospital And Nursing Home	IA	Family Medicine Physician	$0	$1.1M

Shelby Mescher — Billing Profile & Reimbursement Data

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Shelby Mescher — 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