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    OpenPayerNPI Medicare & MedicaidStephan Shane
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    Stephan Shane — Billing Profile & Reimbursement Data

    NPI 1447332424 · Brighton, CO · Internal Medicine Physician

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    Stephan Shane is a internal medicine physician provider located in Brighton, Colorado. This profile covers 18 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephan Shane
    Address859 S 4th Ave
    CityBrighton
    StateCO
    ZIP80601
    TaxonomyInternal Medicine Physician
    NPI EnumeratedOctober 19, 2006

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

    Payer SourceTotal Paid
    Medicaid$195.1K
    Medicare$97.7K

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…700$80$52.1K
    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…200$60$11.5K
    90694This 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…120$70$8.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.690$10$5.5K
    93793The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…580$10$4.6K
    G0008Administration of influenza virus vaccine120$30$3.7K
    90677This 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…10$280$3.4K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit10$160$2.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$120$1.8K
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…290$1$1.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9067777492020$270$15.4K
    906947970030$70$14.8K
    992141318,16080$80$11.3K
    G00083811,83040$30$7.4K
    G04391,7121,90050$90$7K
    992131,1957,20070$60$6.6K
    2061069373040$50$3.9K
    G043818825020$140$3K
    36415421,04070$10$2.8K
    937931512080$10$1.9K

    Showing 1–10 of 18

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,310$60$140.9K
    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…1,310$40$52.3K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…70$20$1.4K
    G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…40$10$590
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg80$10$550
    93793The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…100$10$500
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.310$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Colorado median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7522,520330$100$352K
    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…6072,630430$90$268.2K
    93793The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…910220$10$14.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.325680260$1$4.3K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…45186080$10$3.2K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6613090$1$1.3K
    G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…41040$1$130

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Osf Healthcare SystemILDurable Medical Equipment & Medical Supplies$0$16.7M
    Osf Healthcare SystemILHome Infusion Therapy Pharmacy$0$10.3M
    Saint Francis Medical CenterILGeneral Acute Care Hospital$0$7.3M
    Min-kyu HanILOphthalmology Physician$4.9M$547.6K
    Osf Healthcare SystemILLand Ambulance$0$5.2M
    Osf Healthcare SystemILRural Health Clinic/Center$0$4.9M
    Osf Healthcare SystemILRural Health Clinic/Center$0$4.7M
    Osf Healthcare SystemILHome Health Agency$0$3.4M
    Luke XieILFamily Medicine Physician$41.9K$2.9M
    Darren SigalCAMedical Oncology Physician$2.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Salud Family HealthCOFederally Qualified Health Center (FQHC)$0$17M
    Brighton Community Hospital AssociationCOGeneral Acute Care Hospital$0$13.1M
    Advanced Urgent Care LLCCOUrgent Care Clinic/Center$0$9.8M
    Positive Approach, Inc.COPreferred Provider Organization$0$8.5M
    Brighton Pediatrics, P.C.COPediatrics Physician$0$5.5M
    Brighton Community Emergency Physicians LpaCOEmergency Medicine Physician$0$4.4M
    Platte Valley Ambulance Service LLCCOLand Ambulance$381.3K$3.3M
    Salud Family HealthCOFederally Qualified Health Center (FQHC)$0$3.5M
    Sean ManionCOUrology Physician$173.9K$0
    Behzad MolaviCOInterventional Cardiology Physician$132.2K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Stephan Shane — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado
    Medicaid Revenue by Year vs. Colorado Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Stephan Shane — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado