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

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

Margaret Shotzbarger (NPI 1396496667)

Field	Value
Entity Type	Individual
Organization	Margaret Shotzbarger
Address	5401 Old York Rd Ste 300
City	Philadelphia
State	PA
ZIP	19141
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	January 18, 2022

Payer Source	Total Paid
Medicare	$12.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$40	$5.2K
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…	60	$60	$3.3K
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…	20	$90	$1.3K
99203	The provider sees a new 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 provider…	20	$50	$1K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	40	$20	$790
G0296	Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	40	$20	$770
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$20	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Margaret Shotzbarger — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,350	23,230	100	$80	$14.5K
99213	6,557	22,370	70	$60	$7.7K
99204	8,233	10,290	30	$110	$5K
99203	4,969	7,330	30	$70	$3.5K
99212	4,582	4,720	30	$40	$2.3K
G0296	10	40	20	$30	$1K
99407	5	20	20	$30	$790

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patriot Home Care, Inc	PA	Home Health Agency	$0	$135.9M
Albert Einstein Medical Center	PA	General Acute Care Hospital	$0	$81.1M
Dr Warren E Smith Community Mental Health Mental Retardation & Substan	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$34.5M
Pathways To Housing PA, Inc.	PA	Case Management Agency	$0	$26.4M
Albert Einstein Medical Center	PA	Rehabilitation Hospital Unit	$0	$14.5M
Einstein Practice Plan Inc	PA	Emergency Medicine Physician	$0	$13.9M
Einstein Practice Plan Inc	PA	Diagnostic Radiology Physician	$0	$9.6M
Einstein Practice Plan Inc	PA	Pediatrics Physician	$0	$8M
Resources For Human Development, Inc.	PA	Case Management Agency	$0	$7.1M
Chad Home Health Agency, Inc.	PA	Home Health Agency	$0	$6M

Margaret Shotzbarger — Billing Profile & Reimbursement Data

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Margaret Shotzbarger — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References