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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Melissa Shipley (NPI 1518057868)

Field	Value
Entity Type	Individual
Organization	Melissa Shipley
Address	1729 New Hanover Medical Park Dr
City	Wilmington
State	NC
ZIP	28403
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 14, 2006

Payer Source	Total Paid
Medicare	$16K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$70	$6K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	100	$50	$4.5K
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…	20	$90	$2.1K
99204	The provider sees a new 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 provider…	10	$120	$1.7K
99203	The provider sees a new 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 provider…	20	$80	$1.3K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	30	$10	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Melissa Shipley — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,890	18,060	110	$80	$15.1K
99213	6,495	16,320	70	$50	$7.1K
99204	7,158	8,430	30	$110	$4.8K
99203	4,202	5,450	30	$70	$3.1K
92060	9	50	50	$40	$2.7K
92285	91	130	60	$10	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Regional Healthcare System	NC	General Acute Care Hospital	$0	$17.2M
Enrique Calderon	NC	Ophthalmology Physician	$713K	$0
Francis Pecoraro	NC	Interventional Pain Medicine Physician	$569.7K	$0
Robert Van Der Vaart	NC	Ophthalmology Physician	$476.3K	$0
Samantha Watson	NC	Ophthalmology Physician	$414K	$0
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0
Richard Hawkins	NC	Ophthalmology Physician	$380.3K	$0
Luke Peterson	NC	Ophthalmology Physician	$379K	$0
Alan Oester	NC	Ophthalmology Physician	$378.1K	$0
Matej Polomsky	NC	Ophthalmology Physician	$368.9K	$0

Melissa Shipley — Billing Profile & Reimbursement Data

Sign up for Melissa Shipley — Billing Profile & Reimbursement Data policy alerts

Melissa Shipley — Billing Profile & Reimbursement Data

Sign up for Melissa Shipley — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References