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

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

Michael Shell (NPI 1518925718)

Field	Value
Entity Type	Individual
Organization	Michael Shell
Address	1551 Professional Ln Unit 180
City	Longmont
State	CO
ZIP	80501
Taxonomy	Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicare	$11.8K
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…	50	$70	$3.2K
95860	In this procedure, the provider uses an electromyograph to record electrical activity that skeletal muscle cells produce while the provider inserts needles into the muscle during rest and while…	30	$90	$3K
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…	30	$80	$2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	30	$60	$1.6K
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	$130	$1.5K
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,…	10	$50	$510

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. Colorado Distribution

Michael Shell — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	4,361	7,200	70	$60	$6.6K
99204	3,311	3,670	30	$110	$4.7K
99203	1,505	2,650	30	$70	$3.1K
95860	1	10	30	$90	$3K
99212	1,478	1,530	30	$40	$2K
99202	102	300	20	$40	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Hospital Association Of The San Luis Valley	CO	General Acute Care Hospital	$0	$10.5M
Lutheran Hospital Association Of The San Luis Valley	CO	Obstetrics & Gynecology Physician	$0	$5.1M
Charles Sisson	CO	Pain Medicine (Anesthesiology) Physician	$2.6M	$0
Matthew Logsdon	CO	Hematology & Oncology Physician	$643.8K	$0
William Harrer	WA	Medical Oncology Physician	$348K	$0
Andrew Roth	IL	Obstetrics & Gynecology Physician	$116.6K	$161.3K
Jennifer Westmoreland	ND	Diagnostic Radiology Physician	$247.2K	$0
Douglas Crowther	CO	Orthopaedic Surgery Physician	$242.5K	$0
Joshiah Gordon	CO	Pulmonary Disease Physician	$232.6K	$0
Brett Young	CO	Diagnostic Radiology Physician	$213.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sample Supports	CO	Community/Behavioral Health Agency	$0	$105.8M
Salud Family Health	CO	Federally Qualified Health Center (FQHC)	$0	$25.7M
Carmel Community Living Corporation	CO	Developmentally Disabled Services Day Training Agency	$0	$21.2M
Elevated Supports, LLC	CO	Respite Care	$0	$14.6M
Hero Dental Of Longmont PC	CO	General Practice Dentistry	$0	$13M
Hopelight Medical Clinic	CO	Health Service Clinic/Center	$0	$12.3M
Hero Vision Of Longmont, LLC	CO	Optometrist	$0	$11.9M
Senior Housing Options, Inc.	CO	Assisted Living Facility	$0	$5.7M
Vcphcs X, LLC	CO	Substance Use Disorder Rehabilitation Clinic/Center	$156.9K	$5.3M
Longmont United Hospital	CO	General Acute Care Hospital	$0	$5.2M

Michael Shell — Billing Profile & Reimbursement Data

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Michael Shell — 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