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

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

Melissa Sheehan (NPI 1417900754)

Field	Value
Entity Type	Individual
Organization	Melissa Sheehan
Address	405 Silverside Rd Ste 111
City	Wilmington
State	DE
ZIP	19809
Taxonomy	Family Medicine Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicare	$90.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 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…	500	$80	$41.1K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	70	$160	$12K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	$130	$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…	140	$60	$8.3K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	30	$280	$8.2K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	70	$70	$4.8K
G0008	Administration of influenza virus vaccine	70	$30	$2.1K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$160	$2K
G0009	Administration of pneumococcal vaccine	40	$30	$1.2K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	40	$20	$770

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Melissa Sheehan — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	339	1,830	150	$80	$25.5K
G0439	297	490	90	$120	$17.2K
99213	798	1,810	120	$60	$13.6K
90677	119	260	30	$280	$9.4K
90662	118	270	60	$70	$6.5K
G0438	7	90	20	$150	$4.8K
G0008	222	410	80	$30	$4.1K
G0402	91	110	20	$160	$3.1K
93000	214	340	40	$10	$2.5K
G0444	83	120	80	$20	$2.4K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Total Care Physicians, P.A.	DE	Family Medicine Physician	$0	$1.6M
Alexia Moutsatsos	DE	Internal Medicine Physician	$270.9K	$0
Matthew Jacobson	DE	Internal Medicine Physician	$189.6K	$0
Robert Palandjian	DE	Family Medicine Physician	$176.4K	$0
Anthony Curci	DE	Internal Medicine Physician	$124.8K	$0
Samantha Gray	DE	Family Nurse Practitioner	$103.7K	$0
Kelsey Fryberger	DE	Family Nurse Practitioner	$73.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brandywine Center For Autism, LLC	DE	Community/Behavioral Health Agency	$0	$5.5M
Your Center, LLC	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.2M
Chee Woo	DE	Pain Medicine Physician	$913.5K	$140
Phoenix Center For Health And Wellness LLC	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$589.2K
Brandywine Hundred Fire Co. No. 1	DE	Land Ambulance	$283K	$243.3K
Manny Lai	DE	Pain Medicine Physician	$288.6K	$0
Alexander Matz	DE	Pain Medicine Physician	$282.5K	$2.2K
Faye Dube	DE	Mental Health Counselor	$0	$275.4K
Ashley Leddy	DE	Family Nurse Practitioner	$166.3K	$0
Sriniketh Sundar	DE	Pain Medicine Physician	$164.7K	$0

Melissa 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

Nearby Providers

Frequently Asked Questions

References