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

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

Timothy Shafman (NPI 1366424533)

Field	Value
Entity Type	Individual
Organization	Timothy Shafman
Address	3210 Fruitville Rd
City	Sarasota
State	FL
ZIP	34237
Taxonomy	Radiation Oncology Physician
NPI Enumerated	November 15, 2005

Payer Source	Total Paid
Medicare	$645.1K
Medicaid	$0

Key Findings

This provider is a radiation oncology specialist whose Medicare billing is dominated by high-complexity radiation delivery and planning codes. The top three Medicare codes — G6015, 77014, and 77301 — together account for 81.9% of the provider's total Medicare revenue, and the code descriptions (IMRT delivery, treatment delivery QA/verification, and IMRT planning) point to a practice focused on intensity-modulated and image-guided external beam radiation therapy rather than office-based primary care.

Revenue concentration is high: G6015 alone represents $326.9K (50.7% of Medicare revenue) from 1.1K claims, with 77014 contributing $111.7K (17.3% from 1.2K claims) and 77301 adding $89.5K (13.9% from 60 claims). The precomputed top-3 share of 81.9% underscores dependence on a small set of radiation-delivery and planning services for the bulk of Medicare receipts.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $645.1K and there is no Medicaid billing on file. This asymmetric mix indicates the provider either does not participate in Medicaid or does not bill Medicaid patients, concentrating reimbursement exposure in the Medicare channel.

Competitive standing on the primary procedure codes is modest rather than dominant: G6015 ranks #302 of 1429 providers (79th percentile) and is described as a typical/unremarkable volume level, 77014 ranks #525 of 4303 (88th percentile) also typical/unremarkable, and 77301 ranks #828 of 3815 (77th percentile) similarly typical. Those percentiles indicate this provider operates at or above median national volumes for these specialized IMRT-related services but is not a top national outlier.

The provider’s service mix is procedure-heavy with limited evaluation-and-management (E&M) revenue: E&M codes appear at much smaller shares (for example 99204 accounts for $9K or 1.4% of Medicare revenue and 99213 accounts for $1.7K or 0.3%), signaling that most clinical activity billed to Medicare is on radiation delivery and planning rather than office visits. This implies operational focus on treatment sessions and physics/planning workflows rather than ambulatory clinic throughput.

There are a few lower-than-peer readings on ancillary planning/device codes and routine E&M: 77334 is at the 35th percentile (88 claims, $9K) and 99213 is at the 16th percentile (24 claims, $1.7K), which suggests the practice bills less frequently for custom device construction and some routine office visits compared with many peers. Most other radiation-related codes listed are in middle-to-upper percentiles described as typical or unremarkable, reinforcing a concentrated but conventionally scaled radiation therapy practice.

The provider has long tenure on file, with NPI enumeration dated 2005-11-15 (~21 years ago), which supports the picture of an established radiation oncology practice. Combined with the concentrated procedure mix and Medicare-only billing pattern, the data suggest an experienced, procedure-centric provider whose financial profile is tightly linked to IMRT and related treatment-delivery codes.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	1,130	$290	$326.9K
77014	N/A	1,150	$100	$111.7K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	60	$1,490	$89.5K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	200	$160	$30.8K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	60	$380	$22.5K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	250	$70	$17K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	280	$50	$15.3K
99204	The provider sees a new 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 provider…	70	$130	$9K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	90	$100	$9K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	70	$130	$8.6K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Timothy Shafman — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	1	180	710	$280	$287.1K
77014	1	350	500	$70	$55.6K
77301	1	290	40	$960	$52K
77427	1	370	160	$150	$36.3K
77336	1	200	240	$70	$21.1K
77338	1	290	40	$280	$17.3K
77334	8	350	120	$80	$12.5K
99213	1,578	30,010	80	$60	$12K
77300	2	400	200	$40	$11.9K
77263	3	350	60	$130	$9.4K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Yusef Haj-darwish	MA	Emergency Medicine Physician	$744K	$5M
Andrew Lipman	FL	Medical Oncology Physician	$5.6M	$0
David Rabady	NY	Retina Specialist (Ophthalmology) Physician	$3.8M	$1.1M
Babak Jian Seyedahmadi	MA	Ophthalmology Physician	$4.4M	$0
Constantine Mantz	FL	Therapeutic Radiology Physician	$3.8M	$0
Sonal Sura	FL	Therapeutic Radiology Physician	$3.5M	$3.5K
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
Timothy Kerwin	FL	Radiation Oncology Physician	$3.4M	$0
Daniel Dosoretz	FL	Radiation Oncology Physician	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerplace Health, Inc	FL	Federally Qualified Health Center (FQHC)	$0	$9.7M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.6M
Allin Ip Dx LLC	FL	Clinical Medical Laboratory	$2M	$23.6K
Tyler Hollen	FL	Radiation Oncology Physician	$1.8M	$0
Jennifer Chouinard	FL	Family Nurse Practitioner	$1.7M	$0
Michael Dattoli	FL	Specialist	$1.1M	$0
Coastal Medical Center LLC	FL	Ambulatory Surgical Clinic/Center	$933.5K	$0
Alfred Bilik	FL	Urology Physician	$405.8K	$0
Jeremy Bergamo	FL	Urology Physician	$223K	$0
Matthew Perry	FL	Urology Physician	$208.5K	$0

Timothy Shafman — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References