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

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

Cathy Shell (NPI 1447755772)

Field	Value
Entity Type	Individual
Organization	Cathy Shell
Address	98 Wheatfield Ln
City	Star Tannery
State	VA
ZIP	22654
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	March 28, 2018

Payer Source	Total Paid
Medicare	$254.7K
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
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,940	$70	$199.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	840	$50	$39.5K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	100	$50	$5.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	$110	$5K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	20	$120	$2.2K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	10	$100	$1.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$80	$1.2K

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. Virginia Distribution

Cathy Shell — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	10	790	260	$70	$37K
99308	84	650	180	$50	$18.9K
99306	246	290	60	$140	$16.4K
G0439	1,961	2,960	80	$120	$14.7K
99310	378	390	70	$110	$14.1K
99316	236	270	40	$90	$5K
99315	6	90	30	$60	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group, LLC	VA	Internal Medicine Physician	$0	$81.2M
Robert Brennan	VA	Infectious Disease Physician	$15.9M	$0
M Medical Group, Inc.	MD	Critical Care Medicine (Internal Medicine) Physician	$0	$11.3M
Adebowale Prest	MD	Family Medicine Physician	$2.8M	$0
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.9M
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Glenda Mccarter	MD	Nurse Practitioner	$1.3M	$0
Marilyn Chengot	NY	Cardiovascular Disease Physician	$909.9K	$15.1K
Kyongsook Kim	DC	Gerontology Nurse Practitioner	$158K	$716.2K
Rahel Yirga	VA	Internal Medicine Physician	$803.8K	$0

Cathy Shell — Billing Profile & Reimbursement Data

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Cathy Shell — 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