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

Why is the Medicaid comparison limited to New York 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. New York (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.

Adam Shaner (NPI 1497045991)

Field	Value
Entity Type	Individual
Organization	Adam Shaner
Address	19 Bradhurst Ave
City	Hawthorne
State	NY
ZIP	10532
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	April 18, 2011

Payer Source	Total Paid
Medicare	$59K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	30	$1,240	$39.6K
27236	In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…	10	$1,110	$12.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	70	$50	$3.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$80	$2.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$60	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Adam Shaner — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	10	100	20	$1,040	$20.7K
27236	53	60	10	$940	$15K
99232	10,521	11,850	80	$70	$13.8K
99212	2,083	7,850	30	$40	$3.6K
99221	469	1,650	20	$70	$2.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Children's Health Physicians, LLP	NY	Pediatrics Physician	$0	$52.9M
New Vision Home Care Services, LLC	NY	Home Health Agency	$0	$18.8M
Peter Coombs	NY	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Anthony Gilet	NY	Diagnostic Radiology Physician	$1.2M	$63.7K
Albert Deluca	NY	Cardiovascular Disease Physician	$788.3K	$3K
Jean Tostanoski	NY	Ophthalmology Physician	$443.6K	$860
Carmine Sorbera	NY	Clinical Cardiac Electrophysiology Physician	$291.7K	$0
Edmund Farris	NY	Ophthalmology Physician	$267.6K	$50
Karen Seiter	NY	Hematology & Oncology Physician	$180.1K	$41.2K
Delong Liu	NY	Hematology & Oncology Physician	$134.9K	$9.3K

Adam Shaner — Billing Profile & Reimbursement Data

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Adam Shaner — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References