Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidStephen Shy
    Ask Trek AI about this page

    Stephen Shy — Billing Profile & Reimbursement Data

    NPI 1598737991 · Huntington, WV · General Practice Physician

    Customize your policy alerts

    Sign up for Stephen Shy — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Stephen Shy is a general practice physician provider located in Huntington, West Virginia. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Shy
    Address601 20th St
    CityHuntington
    StateWV
    ZIP25703
    TaxonomyGeneral Practice Physician
    NPI EnumeratedFebruary 2, 2006

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

    Payer SourceTotal Paid
    Medicare$80.4K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.420$60$25.9K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…210$110$23.4K
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…50$200$9.2K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.60$130$8.5K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…30$150$5.2K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.50$90$3.9K
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…10$240$3.4K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.20$40$970

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G048251070$190$45K
    G0481410110$150$27.5K
    G0480510110$110$22K
    9928526042090$130$15.5K
    G048331020$240$9.5K
    8030723070$60$9.4K
    9928433745080$90$8.2K
    9928320531030$50$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holzer Clinic, LLCOHMulti-Specialty Clinic/Center$0$56.1M
    Ohio Valley Physicians IncWVFamily Medicine Physician$0$43M
    Ohio Valley Physicians IncWVCommunity/Behavioral Health Agency$0$22.8M
    Highlands Hospital CorpKYCardiovascular Disease Physician$0$15.9M
    Ohio Valley Physicians IncOHSubstance Abuse Rehabilitation Facility$0$12.9M
    Ohio Valley Physicians IncWVRural Health Clinic/Center$0$4.2M
    Ohio Valley PhysiciansKYMental Health Clinic/Center (Including Community Mental Health Center)$0$3.4M
    Ohio Valley Physicians, IncWVRural Health Clinic/Center$0$3.1M
    Ohio Valley Physicians IncWVRural Health Clinic/Center$0$2.4M
    Jonathan HessOHFamily Medicine Physician$272.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Valley Health Systems IncWVFederally Qualified Health Center (FQHC)$0$17.2M
    University Physicians & Surgeons, Inc.WVMental Health Clinic/Center (Including Community Mental Health Center)$0$9.4M
    Recovery Resource GroupWVCommunity/Behavioral Health Agency$0$8.5M
    Valley Health Systems IncWVGeneral Practice Physician$0$4.7M
    Valley Health Systems, IncWVFederally Qualified Health Center (FQHC)$0$3.8M
    Tri-state Allergy, IncWVAllergy Physician$0$1.8M
    Valley Health Systems IncWVObstetrics & Gynecology Physician$0$1M
    Contemplations Behavioral Health ServicesWVMental Health Clinic/Center (Including Community Mental Health Center)$0$919.6K
    Huntington Physical Therapy Services IncWVPhysical Therapist$0$843K
    Matthew WilsonWVAllergy Physician$578.9K$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. West Virginia Distribution
    Stephen Shy — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia