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    OpenPayerNPI Medicare & MedicaidJames Shehorn
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    James Shehorn — Billing Profile & Reimbursement Data

    NPI 1538663455 · Burr Ridge, IL · Audiologist

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    James Shehorn is a audiologist provider located in Burr Ridge, Illinois. This profile covers 5 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Shehorn
    Address101 Burr Ridge Pkwy Ste 150
    CityBurr Ridge
    StateIL
    ZIP60527
    TaxonomyAudiologist
    NPI EnumeratedMarch 23, 2018

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

    Payer SourceTotal Paid
    Medicaid$420.1K
    Medicare$23.7K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…430$30$11.5K
    92587Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…340$20$5.8K
    92550The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…320$20$5.4K
    92553The provider presents the patient with a series of tones at varying intensities to identify the softest level at which the patient can hear to access hearing and determine the type and amount of…20$30$580
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.30$10$380

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92557635090$30$3.1K
    9258711020$20$1.7K
    9256722530070$10$1.2K
    9255014030$20$890
    92553204020$30$880

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V5140Binaural, behind the ear210$710$147.4K
    V5160Dispensing fee, binaural350$330$114.8K
    V5266Battery for use in hearing device2,020$20$46.5K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…1,970$20$31.5K
    V5264Ear mold/insert, not disposable, any type320$70$22K
    92591N/A530$30$16.9K
    92587Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…1,370$10$13.7K
    92550The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…1,250$10$10K
    V5260Hearing aid, digital, binaural, ite10$750$9.8K
    V5014Repair/modification of a hearing aid20$220$3.3K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V5140Binaural, behind the ear820170$720$568.2K
    V5160Dispensing fee, binaural1640190$350$225.1K
    V5014Repair/modification of a hearing aid1720100$310$116.9K
    V5266Battery for use in hearing device1450300$20$112.2K
    V5264Ear mold/insert, not disposable, any type1330250$70$40K
    92591N/A630240$30$21.9K
    V5260Hearing aid, digital, binaural, ite51030$750$16.5K
    92588The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…51070$20$15.7K
    92587Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…15100190$20$11.6K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…4180120$30$9K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Timothy RemecILAudiologist$17.6K$1.5M
    Avia LoweILAudiologist$2.5K$529.5K
    Hana HueserILAudiologist$6K$284.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Metro Infectious Disease Consultants, LLCILInfectious Disease Physician$0$44.3M
    Clinical Hearing ServicesILAudiologist-Hearing Aid Fitter$0$7.2M
    Syed KhadriILPsychiatry Physician$0$5.4M
    Lincare Inc.ILDurable Medical Equipment & Medical Supplies$0$5.3M
    Linda PalumboILInternal Medicine Physician$8.6K$4.3M
    Clinicare Lab LtdILClinical Medical Laboratory$381.5K$1.2M
    Ram RamaniILInfectious Disease Physician$561.1K$332.4K
    R WardILCardiovascular Disease Physician$389.6K$279.4K
    William MielerILOphthalmology Physician$69.2K$532.5K
    Angela CrowleyILRheumatology Physician$543.2K$0

    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. Illinois Distribution
    James Shehorn — 3 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    James Shehorn — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois