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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShane Pearce
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    Shane Pearce — Billing Profile & Reimbursement Data

    NPI 1518253988 · Spokane, WA · Urology Physician

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    Shane Pearce is a urology physician provider located in Spokane, Washington. This profile covers 26 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
    OrganizationShane Pearce
    Address1401 E Trent Ave Ste 200
    CitySpokane
    StateWA
    ZIP99202
    TaxonomyUrology Physician
    NPI EnumeratedJune 23, 2011

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

    Payer SourceTotal Paid
    Medicare$135.4K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…200$180$36.9K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…20$950$14.2K
    99204The 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…100$130$12.6K
    99213The 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…180$60$10.8K
    99214The 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…110$90$10.5K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$330$5.2K
    38571The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…20$280$5K
    55706The provider performs multiple needle biopsies of the prostate gland through the perineum (the area between the scrotum and the anus) using a stereotactic template system that helps precisely guide…20$290$4.9K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…50$90$4.7K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…20$290$4.4K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    520001218090$140$14.4K
    992144,80610,860100$80$13.6K
    5570651020$570$12.6K
    5586692020$650$11.7K
    51728334030$220$8.5K
    992152,3474,32040$120$8.4K
    52356477020$400$8.1K
    992131,7069,69060$60$6.5K
    992051,0741,82030$150$5.4K
    992044704,75030$110$5.2K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Enloe Medical CenterCAGeneral Acute Care Hospital$0$57.6M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Douglas MurreyWAVascular & Interventional Radiology Physician$1.4M$0
    Kurt JohnsonCAGeneral Practice Physician$1.1M$0
    Catherine PrinceCACardiovascular Disease Physician$1.1M$0
    Karie-lynn KellyWARadiation Oncology Physician$1M$0
    Douglas HughesCAVascular & Interventional Radiology Physician$1M$0
    Walter KusumotoCAClinical Cardiac Electrophysiology Physician$956.5K$4K
    Peter WolkCACardiovascular Disease Physician$848.6K$0
    Ammar TahaWIDiagnostic Radiology Physician$410.5K$380K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Multicare Health SystemWAInternal Medicine Physician$0$46.6M
    Frontier Behavioral HealthWACommunity/Behavioral Health Agency$0$34.3M
    Dungarvin Washington Children's Services, LLCWADevelopmental Disabilities Clinic/Center$0$21.3M
    Community Health Association Of SpokaneWAFederally Qualified Health Center (FQHC)$0$8.2M
    Providence Health & Services- WashingtonWARehabilitation Hospital$0$8M
    Compass Career Solutions LLCWADevelopmentally Disabled Services Day Training Agency$0$7.7M
    Inland Imaging LLCWADiagnostic Radiology Physician$0$6.8M
    Northwest Autism CenterWACommunity/Behavioral Health Agency$0$5.9M
    Northwest Pediatric OphthalmologyWAOphthalmology Physician$0$4.2M
    Inland Northwest Renal Care Group, LLCWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M

    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. Washington Distribution
    Shane Pearce — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington