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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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 Tarango (NPI 1366944266)

Field	Value
Entity Type	Individual
Organization	Shelby Tarango
Address	173 El Camino Campo
City	Corrales
State	NM
ZIP	87048
Taxonomy	Occupational Therapist
NPI Enumerated	March 6, 2018

Payer Source	Total Paid
Medicare	$23.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	550	$20	$11.5K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	310	$20	$5.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	260	$20	$4K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	30	$80	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Shelby Tarango — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	244	350	530	$20	$17.3K
97530	106	280	360	$20	$13.8K
97535	6	60	50	$20	$2.9K
97166	5	10	20	$70	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A New Vision Case Management, Inc.	NM	Case Management Agency	$0	$6M
Alyson Thal	NM	Family Medicine Physician	$142.7K	$0
Joan Lewis	NM	General Practice Physician	$85.1K	$0
Maurits Rol	NM	Psychiatry Physician	$32.6K	$0
Katrine Mitchell	NM	Foot & Ankle Surgery Podiatrist	$31.2K	$0
Wendy Gallegos	NM	Audiologist	$2.3K	$0

Shelby Tarango — Billing Profile & Reimbursement Data

Sign up for Shelby Tarango — Billing Profile & Reimbursement Data policy alerts

Shelby Tarango — Billing Profile & Reimbursement Data

Sign up for Shelby Tarango — 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