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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Sheldon
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    John Sheldon — Billing Profile & Reimbursement Data

    NPI 1467415646 · Northampton, MA · Radiation Oncology Physician

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    John Sheldon is a radiation oncology physician provider located in Northampton, Massachusetts. This profile covers 19 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Sheldon
    AddressMassachusetts General Cancer Center At Cooley Dickinson
    CityNorthampton
    StateMA
    ZIP01060
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicare$274.9K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…490$160$76.3K
    77014N/A1,940$40$69.9K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…70$340$25.1K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.400$50$19.5K
    77263The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…140$140$18.4K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…110$140$14.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…70$180$13.5K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…420$30$11.4K
    77295Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…50$180$8.4K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…50$70$3.1K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    774276160130$160$27.5K
    770145150310$40$22.2K
    773011512030$460$19.2K
    773381912030$210$9.6K
    992154,6126,36040$120$8.9K
    9921312,63313,70070$60$8.8K
    773348140130$50$8.5K
    77263816050$140$8.2K
    7730023150190$30$7.7K
    772952610030$200$7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The General Hospital CorporationMAGeneral Acute Care Hospital$0$438M
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M
    Colorado Permanente Medical Group, P.C.COInternal Medicine Physician$0$23.2M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Mass General Brigham Medical Group Western Massachusetts IncMAFamily Medicine Physician$0$8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$204.8M
    Nonotuck Resource Associates, IncMAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$154.6M
    Department Of Mental HealthMACommunity/Behavioral Health Agency$0$153M
    Cooley Dickinson Hospital IncMAGeneral Acute Care Hospital$0$34.9M
    Servicenet IncMAEarly Intervention Provider Agency$0$10M
    Servicenet IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.5M
    City Of NorthamptonMALand Ambulance$831.4K$2.7M
    Shields Pet Ct At Cooley Dickinson Hospital LLCMAMobile Radiology Clinic/Center$685K$6.7K
    Steven WeinsierMACardiovascular Disease Physician$338.5K$400
    Derek DavidsonMAPhysical Medicine & Rehabilitation Physician$331.7K$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. Massachusetts Distribution
    John Sheldon — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts