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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdward Shin
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    Edward Shin — Billing Profile & Reimbursement Data

    NPI 1427084433 · Plano, TX · Specialist

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    Edward Shin is a specialist provider located in Plano, Texas. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationEdward Shin
    Address5804 Communications Pkwy Ste 100
    CityPlano
    StateTX
    ZIP75093
    TaxonomySpecialist
    NPI EnumeratedJune 23, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$110.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…860$60$51.4K
    99214The 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…270$90$24.2K
    99204The 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…60$110$7K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…90$70$6.7K
    G2011Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes480$10$5.2K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…50$80$3.8K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…30$90$2.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$40$1.8K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…30$50$1.6K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.90$20$1.4K

    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

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,12432,500110$80$17.6K
    6449345764050$180$12.3K
    6232310553040$150$10K
    9921350229,79070$60$8.4K
    6232132139030$150$6.5K
    992044,27216,38030$110$5.6K
    206101,4822,48060$50$5.5K
    7700218556030$70$5.5K
    6449433852040$70$3.9K
    992123,0785,51030$40$2.2K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Always With You HomecareTXHome Health Agency$0$12.3M
    Tahir RanaTXRadiation Oncology Physician$2.5M$0
    Dallas Nephrology AssociatesTXAmbulatory Surgical Clinic/Center$2M$1.8K
    Odette CampbellTXInternal Medicine Physician$2M$0
    James PetrikasTXRadiation Oncology Physician$1.8M$0
    Richard HerrscherTXAllergy & Immunology Physician$1.7M$0
    Surgcenter Of Plano LLCTXAmbulatory Surgical Clinic/Center$1.7M$0
    Jeremiah GraffTXFoot & Ankle Surgery Podiatrist$1.6M$0
    Plano Ambulatory Surgery Associates, LPTXAmbulatory Surgical Clinic/Center$1.5M$0
    Asha KarippotTXHematology & Oncology Physician$1.4M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Edward Shin — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas