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

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

Douglas Shumaker (NPI 1497870778)

Field	Value
Entity Type	Individual
Organization	Douglas Shumaker
Address	2929 Mcfarland Rd
City	Rockford
State	IL
ZIP	61107
Taxonomy	Corneal and Contact Management Optometrist
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicare	$75.5K
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
99214	The 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…	450	$80	$35.4K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	160	$80	$13.5K
99213	The 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…	190	$60	$11.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	130	$90	$11K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	70	$20	$1.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	50	$30	$1.2K
92312	The provider performs all components of contact lens prescription and fitting for both eyes when there is absence of the lens of the eye (aphakia) as a result of prior cataract surgery.	10	$80	$1.1K

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. Illinois Distribution

Douglas Shumaker — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	630	1,420	130	$80	$24.7K
99214	2,192	18,540	110	$80	$17.1K
92134	699	1,080	80	$30	$9K
99213	3,849	17,390	70	$60	$8.8K
92004	132	990	40	$100	$6.3K
92133	425	980	60	$20	$2.5K
92312	1	10	10	$80	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Lee	CO	Ophthalmology Physician	$314.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$16.4M
Rosecrance, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Marc Wasserman	IL	Dentist	$0	$3.3M
Susan Fowell	IL	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Andrew Jun	IL	Otolaryngology Physician	$2.3M	$0
Rockford Orthopedic Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$1.2M	$0
Rockford Gastroenterology Associates, Ltd.	IL	Ambulatory Surgical Clinic/Center	$956.2K	$264K
Featherstone Partnership LP	IL	Ambulatory Surgical Clinic/Center	$946.2K	$0
Thomas Dahlberg	IL	Pain Medicine (Anesthesiology) Physician	$692.1K	$0
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0

Douglas Shumaker — 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

Nearby Providers

Frequently Asked Questions

References