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

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

Brian Shelley (NPI 1598177966)

Field	Value
Entity Type	Individual
Organization	Brian Shelley
Address	3118 Ross Clark Cir
City	Dothan
State	AL
ZIP	36303
Taxonomy	Hand Physical Therapist
NPI Enumerated	May 20, 2014

Payer Source	Total Paid
Medicare	$51.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	760	$20	$12.9K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	660	$20	$12.5K
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.	290	$30	$7.7K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	670	$10	$5.4K
97022	The whirlpool method of treatment is a form of hydrotherapy that uses circulating water and air with varied temperature and pressure settings for the treatment of certain disorders. The whirlpool is…	540	$10	$4.9K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	680	$10	$4.7K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	50	$70	$3.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Brian Shelley — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	352	1,180	430	$20	$10.9K
97530	574	1,060	330	$20	$10.4K
97124	4	10	380	$20	$8.9K
97161	169	550	40	$70	$3.1K
G0283	78	720	240	$10	$2.1K
97035	6	140	80	$10	$1.1K
97022	1	30	60	$10	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Outlaw	AL	Physical Therapist	$120.7K	$0
Ryan York	AL	Physical Therapist	$104.5K	$0
Christopher Phillips	AL	Physical Therapist	$85.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dothan Pediatric Clinic, P. A.	AL	Pediatrics Physician	$0	$56.6M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$7M
180 Medical, Inc.	AL	Durable Medical Equipment & Medical Supplies	$0	$6.8M
Aba Associates LLC	AL	Behavior Analyst	$0	$6.7M
Dothan Behavioral Medicine Clinic PC	AL	Child & Adolescent Psychiatry Physician	$0	$6.5M
Physician Management Services Of Alabama LLC	AL	Family Medicine Physician	$0	$4.2M
Foundations Pediatric Therapy	AL	Rehabilitation Clinic/Center	$0	$3.1M
Warren Thompson	AL	Ophthalmology Physician	$2.7M	$0
Milestones Psychology And Therapy Inc	AL	Professional Counselor	$0	$2.6M
Jawaunna Blackmon	AL	Hematology & Oncology Physician	$2.1M	$0

Brian Shelley — Billing Profile & Reimbursement Data

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Brian Shelley — 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