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

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

Kristen Sheehan (NPI 1396219580)

Field	Value
Entity Type	Individual
Organization	Kristen Sheehan
Address	198 N Main St Ste C-3
City	Rutland
State	VT
ZIP	05701
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 22, 2019

Payer Source	Total Paid
Medicare	$31K
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…	230	$80	$17.9K
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…	210	$50	$11.2K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	10	$80	$1.1K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	10	$40	$440
G0008	Administration of influenza virus vaccine	10	$30	$330
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…	10	$10	$120

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. Vermont Distribution

Kristen Sheehan — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90694	64	60	90	$80	$10.7K
99214	195	960	90	$70	$10.6K
90480	107	110	130	$40	$7.8K
99213	191	910	80	$50	$6.7K
G0008	166	170	70	$20	$3.5K
93000	63	80	20	$10	$420

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bradford Psychiatric Associates. LLC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$4.7M
Maria Jill Alfonso	NV	Family Nurse Practitioner	$1.6M	$0
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Aaron Aldape	TX	Family Medicine Physician	$988.1K	$0
Dara Pumphrey-ruiz	MA	Psychiatry Physician	$19.9K	$625.6K
Anupama Upadhyay	IA	Psychiatry Physician	$31.6K	$560.4K
Blake Galler	AK	Dermatology Physician	$448K	$0
Marlene Young	RI	Nurse Practitioner	$399.8K	$0
Mark Durfee	MA	Emergency Medicine Physician	$160.3K	$131.7K
Gracia Pierre-pierre	FL	Sports Medicine (Family Medicine) Physician	$234K	$0

Kristen Sheehan — Billing Profile & Reimbursement Data

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Kristen Sheehan — 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

Frequently Asked Questions

References