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

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

Samuel Shepherd (NPI 1568925287)

Field	Value
Entity Type	Individual
Organization	Samuel Shepherd
Address	24076 Se Stark St Ste 200
City	Gresham
State	OR
ZIP	97030
Taxonomy	Occupational Therapist
NPI Enumerated	April 9, 2019

Payer Source	Total Paid
Medicare	$8.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	140	$20	$3.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	140	$20	$2.9K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	10	$80	$1.1K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	20	$50	$870

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Samuel Shepherd — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	789	1,030	300	$20	$11.1K
97110	712	1,010	260	$20	$7.7K
97165	49	50	30	$70	$2.4K
97168	5	10	30	$50	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxwell Mckinney	OR	Physical Therapist	$16.8K	$0
Ross Hubbard	NV	Hand Occupational Therapist	$11.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Mount Hood Medical Center	OR	General Acute Care Hospital	$0	$43.2M
Telecare Mental Health Services Of Oregon, Inc	OR	Mental Illness Community Based Residential Treatment Facility	$0	$12M
The Evangelical Lutheran Good Samaritan Society	OR	In Home Supportive Care Agency	$0	$5M
Calcagno Pediatrics PC	OR	Pediatrics Physician	$0	$5M
Mtn. View Family Practice, PC	OR	Family Medicine Physician	$0	$1.8M
Jiyoung E Lee Dmd PC	OR	Pediatric Dentistry	$0	$1.6M
Performance Modalities Inc	OR	Oxygen Equipment & Supplies (DME)	$0	$1.4M
Providence Health & Services - Oregon	OR	Family Medicine Physician	$0	$1.3M
Legacy Mount Hood Medical Center	OR	Clinic/Center	$0	$1.1M
Columbia Pain And Spine Institute	OR	Physical Medicine & Rehabilitation Physician	$0	$1M

Samuel Shepherd — Billing Profile & Reimbursement Data

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Samuel Shepherd — 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