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

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

Natale Sheehan (NPI 1518178524)

Field	Value
Entity Type	Individual
Organization	Natale Sheehan
Address	1227 N State St Ste 101
City	Jackson
State	MS
ZIP	39202
Taxonomy	Medical Oncology Physician
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

Practice mix and service line: The provider’s Medicare billing is concentrated in oncology infusion and supportive drugs, led by J9271 (pembrolizumab), J0897 (denosumab) and other chemotherapy administration codes such as 96413 and 96365, which aligns with the Medical Oncology Physician taxonomy on file. High-volume use of injectable oncology agents plus E/M codes suggests an office-based infusion practice that both administers cancer immunotherapy/biologic treatments and manages follow-up visits on-site.

Revenue concentration: This provider reports $1.4M in total Medicare revenue, with the top three Medicare codes accounting for 74.3% of total Medicare revenue. J9271 alone generates $764.4K (54.2% of the provider's total Medicare revenue), while J0897 contributes $189K (13.4%) and 99214 contributes $94.4K (6.7%), indicating heavy dependence on a small set of drug and E/M codes for Medicare revenue.

Payer mix: The provider is effectively single‑payer on file, with $1.4M in Medicare revenue and no Medicaid billing on file. This absence of Medicaid activity means state Medicaid exposure and revenue diversification are minimal or nonexistent in the available records.

Competitive standing on key drugs: For the largest drug code, J9271 ranks #417 of 1841 providers nationally (77th percentile; typical, unremarkable volume), so the provider is a solid but not dominant national participant for pembrolizumab. J0897 ranks #1055 of 10057 providers nationally (89th percentile; typical, unremarkable volume), placing the provider above many peers for denosumab use, and J2506 (pegfilgrastim) ranks #42 of 586 providers nationally (92th percentile; typical, unremarkable volume), indicating unusually high relative use of growth‑factor support within that smaller peer group.

E/M volume is a notable outlier: 99214 appears as an extreme outlier, ranking #7984 of 479517 providers nationally (98th percentile; extreme outlier, far above typical national volume), and 99215 ranks #5573 of 145531 providers nationally (96th percentile; notably above typical national volume). These high percentiles for established‑patient E/M visits suggest the practice manages substantial ongoing outpatient patient volumes in addition to infusion services.

Supportive services and ancillary testing: The practice also shows high ordering of routine labs and supportive infusions — 80053 (CMP) has 2.1K claims and ranks #610 of 26416 providers nationally (98th percentile; typical, unremarkable volume), and 85025 (CBC) has 2.1K claims and ranks #928 of 32833 providers nationally (97th percentile; typical, unremarkable volume). Coupled with chemotherapy administration codes such as 96413 (486 claims, $40.8K, 90th percentile; typical, unremarkable volume), this pattern indicates integrated lab monitoring and chemo-support workflows within the practice.

Tenure and provider stability: The NPI was enumerated on 2007-05-24 (~19 years ago), indicating long tenure in the Medicare program. This longevity supports the interpretation of the billing pattern as established practice behavior rather than a short-term referral spike.

Medicare: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	19,600	$40	$764.4K
J0897	Injection, denosumab, 1 mg	10,500	$20	$189K
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…	1,150	$80	$94.4K
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	940	$80	$73.9K
J1439	Injection, ferric carboxymaltose, 1 mg	59,250	$1	$59.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	490	$80	$40.8K
99215	The provider sees an established 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…	310	$120	$36.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	2,060	$10	$20.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,100	$10	$14.7K
J0185	Injection, aprepitant, 1 mg	12,740	$1	$12.7K

Showing 1–10 of 61

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 61 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Natale Sheehan — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

61 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	5	10	16,700	$40	$1M
J0897	18	110	3,030	$20	$95.7K
J2506	5	10	910	$80	$91.5K
J1439	5	20	42,000	$1	$41.6K
J0185	6	10	18,330	$1	$26.4K
96413	15	70	100	$80	$22.6K
99214	169	4,110	170	$70	$21.9K
99233	574	970	110	$90	$21.7K
J3490	9	20	90	$150	$17.8K
J9395	4	10	1,250	$10	$11.8K

Showing 1–10 of 61

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$507.2M
State Of Mississippi-university Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$17.8M
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$13.9M
Guangzhi Qu	MS	Hematology & Oncology Physician	$9.1M	$0
State Of Mississippi- University Of Mississippi Medical Center	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.8M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Tammy Young	MS	Medical Oncology Physician	$5.1M	$0
State Of Mississippi-university Of Mississippi Medical Center	MS	Rural Health Clinic/Center	$0	$4.9M
Justin Baker	MS	Hematology & Oncology Physician	$4.1M	$0
Nicole Cleveland	MS	Medical Oncology Physician	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mississippi Behavioral Health Services, LLC	MS	Community/Behavioral Health Agency	$0	$72.8M
Mississippi Baptist Medical Center, Inc.	MS	General Acute Care Hospital	$0	$42M
Mississippi Children's Home Society - Mypac	MS	Mental Illness Community Based Residential Treatment Facility	$0	$26.5M
Medical Foundation Of Central Mississippi, Inc.	MS	Internal Medicine Physician	$0	$7.5M
James Brown	MS	Retina Specialist (Ophthalmology) Physician	$5.4M	$8.9K
Michael Borne	MS	Retina Specialist (Ophthalmology) Physician	$4.5M	$1.8K
Mississippi Physicians, LLP	MS	Emergency Medicine Physician	$0	$4.2M
Mae Physicians Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$3.4M	$114.8K
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Elizabeth Herrington	MS	Medical Oncology Physician	$1.9M	$0

Natale Sheehan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References