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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Shelly Johnson (NPI 1528055191)

Field	Value
Entity Type	Individual
Organization	Shelly Johnson
Address	59 S County Commons Way Fl H32
City	South Kingstown
State	RI
ZIP	02879
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 29, 2005

Payer Source	Total Paid
Medicare	$48K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 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…	440	$50	$21.5K
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…	200	$40	$8.6K
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…	150	$60	$8K
G0008	Administration of influenza virus vaccine	90	$30	$2.8K
G0009	Administration of pneumococcal vaccine	60	$30	$1.8K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	30	$40	$1.3K
99442	N/A	20	$60	$1.2K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	10	$50	$620
0124A	N/A	10	$40	$590
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	60	$10	$550

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Shelly Johnson — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	52	70	80	$120	$18.1K
99214	104	1,950	100	$80	$11.7K
90694	117	150	60	$70	$8.2K
99213	331	1,950	70	$60	$7.4K
90480	114	160	90	$40	$5.8K
99215	26	460	30	$110	$5.7K
G0438	31	40	20	$150	$4.5K
90677	9	150	20	$150	$3.6K
90662	60	220	30	$50	$2.8K
99442	134	220	20	$60	$2.6K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Medical Inc	RI	Internal Medicine Physician	$0	$1.5M
Coastal Medical Physicians, Inc.	RI	Clinical Medical Laboratory	$133.4K	$1.3M
Coastal Medical Physicians, Inc.	RI	Internal Medicine Physician	$0	$1.2M
Meghan Geary	RI	Internal Medicine Physician	$5.8K	$619.6K
Hanan Khalil	RI	Diagnostic Radiology Physician	$180K	$413.7K
Coastal Medical Inc	RI	Clinical Medical Laboratory	$0	$511K
Aman Nanda	RI	Geriatric Medicine (Internal Medicine) Physician	$70.3K	$404.5K
Raymond Zarlengo	RI	Pediatrics Physician	$0	$435K
Carole Lengyel	RI	Pediatrics Physician	$0	$424.7K
Marjorie Carges	RI	Pediatrics Physician	$0	$417.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South County Hospital Healthcare System	RI	General Acute Care Hospital	$0	$5.3M
Eric Prosseda	RI	General Practice Dentistry	$0	$5.2M
Joey Napolitano	RI	Public Health Dentistry	$0	$1.7M
Elise Jarvis	RI	Mental Health Counselor	$0	$1.7M
Rhode Island Pet Services, LLC	RI	Mobile Radiology Clinic/Center	$773.2K	$497.1K
Catherine Degood	RI	Addiction Medicine (Family Medicine) Physician	$3.1K	$1.1M
Emergency Physician Associates Of New England PC	RI	Emergency Medicine Physician	$0	$1M
Ira Kulman	RI	Clinical Neuropsychologist	$0	$1M
South Kingstown School Department	RI	Local Education Agency (LEA)	$0	$814K
Emily Colyer	RI	Emergency Medicine Physician	$36K	$528.6K

Shelly Johnson — 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