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

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

Lauren Shields (NPI 1417572975)

Field	Value
Entity Type	Individual
Organization	Lauren Shields
Address	1501 Ne Medical Center Dr
City	Bend
State	OR
ZIP	97701
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	June 10, 2020

Payer Source	Total Paid
Medicare	$15.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	80	$120	$9.5K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	180	$20	$3.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$80	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Lauren Shields — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	522	1,310	70	$90	$9.1K
99223	59	1,440	30	$130	$5.6K
G0316	8	140	40	$20	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tooele Clinic Corp	UT	Family Medicine Physician	$0	$1.3M
Mark Martinez	UT	Pulmonary Disease Physician	$155.2K	$0
Roger Freedman	UT	Clinical Cardiac Electrophysiology Physician	$141.1K	$0
George Lolay	IN	Cardiovascular Disease Physician	$134.9K	$0
Fatima Gangotena-bernard	UT	Internal Medicine Physician	$114.1K	$15.6K
Lacey Cooper	UT	Adult Health Nurse Practitioner	$121.4K	$0
Charles Holt	UT	Family Medicine Physician	$118.5K	$900
Thomas Bunch	MN	Cardiovascular Disease Physician	$111.7K	$0
Gail Strindberg	UT	Surgery Physician	$101.5K	$0
Ronald Trudel	UT	Internal Medicine Physician	$98K	$0

Lauren Shields — Billing Profile & Reimbursement Data

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Lauren Shields — 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