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

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

Kent Shih (NPI 1619075207)

Field	Value
Entity Type	Individual
Organization	Kent Shih
Address	4220 Harding Pike
City	Nashville
State	TN
ZIP	37205
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

Provider is heavily Medicare-focused with $2.2M in lifetime Medicare revenue and no Medicaid billing on file (none), making this effectively a single-payer Medicare practice; this payer concentration means analyses of utilization and risk should be centered on Medicare claims patterns rather than a dual-payer mix.

Revenue is highly concentrated in a small set of biologic immunotherapy and targeted infusion codes: the top 3 Medicare codes account for 79.1% of this provider's Medicare revenue, driven largely by J9271, J9299, and Q5107, indicating a practice model organized around high-volume oncology infusions rather than procedural or ancillary service lines.

J9271 (pembrolizumab) is the clear revenue driver with $1.2M (57.5% of this provider's total Medicare revenue) from 28.6K claims and ranks #142 of 1841 nationally (92th percentile; typical, unremarkable volume for this code), signaling a strong national presence on this specific checkpoint inhibitor even as the dataset labels the volume as within expected ranges.

J9299 (nivolumab) contributes $366.7K (17.1% of this provider's total Medicare revenue) from 15.3K claims and ranks #240 of 505 (53th percentile; typical, unremarkable volume for this code), which positions the provider as a modest participant for this alternative PD-1 therapy compared with peers.

Q5107 (bevacizumab-awwb, mvasi biosimilar) adds $97.3K (4.5% of this provider's total Medicare revenue) from 4.2K claims and ranks #19 of 78 (77th percentile; typical, unremarkable volume for this code), indicating above-average use of this biosimilar among the smaller national cohort that bills it.

The visit and administration mix supports an office-based oncology infusion model: high-volume chemotherapy/infusion codes such as 96413 (505 claims, $46K revenue), 96365 (75 claims, $3.3K), and add-on 96417 (163 claims, $7.3K) appear alongside infusion biologic codes, while lab panels (80053, 85025) and supportive medications (J0897 denosumab, J0881 darbepoetin alfa, J1439 ferric carboxymaltose) reflect comprehensive outpatient oncology management.

Practice coding shows notable statistical outliers: 99215 has 770 claims for $96.3K and ranks #609 of 145531 (100th percentile; extreme outlier, far above typical national volume for this code), which suggests unusually high volume of high-complexity E/M visits relative to national peers and should be investigated as a distinguishing operational feature.

Operational participation in value/payment models is evident: M0010 (EOM monthly enhanced oncology services) appears with 168 claims and $11.6K revenue, ranking #110 of 544 (80th percentile; typical, unremarkable volume for this code), indicating the provider is engaged with enhanced oncology service payments at a higher-than-median level among EOM participants.

Medicare: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	28,600	$40	$1.2M
J9299	Injection, nivolumab, 1 mg	15,280	$20	$366.7K
Q5107	Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg	4,230	$20	$97.3K
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…	770	$130	$96.3K
J1454	Injection, fosnetupitant 235 mg and palonosetron 0.25 mg	170	$350	$59.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	510	$90	$46K
J0897	Injection, denosumab, 1 mg	1,980	$20	$35.6K
J1439	Injection, ferric carboxymaltose, 1 mg	32,250	$1	$32.3K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	15,590	$1	$31.2K
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…	200	$90	$18.4K

Showing 1–10 of 61

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 61 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Kent Shih — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

61 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	7	50	17,400	$40	$776.1K
J9299	13	20	21,010	$20	$487.5K
J0897	156	240	2,940	$20	$85K
Q5107	3	20	2,990	$20	$77.6K
J0881	50	70	19,050	$1	$54.4K
J1439	51	90	34,130	$1	$38.6K
J1454	1	70	70	$340	$25.6K
96413	26	240	150	$90	$18.9K
99214	4,036	11,370	120	$80	$16.6K
99233	1,592	2,630	90	$90	$13.1K

Showing 1–10 of 61

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Oncology PLLC	TN	Hematology & Oncology Physician	$0	$8.5M
James Gray	TN	Radiation Oncology Physician	$4.9M	$0
Mark Womack	TN	Hematology & Oncology Physician	$2.4M	$0
Bertrand Anz	TN	Hematology & Oncology Physician	$2.4M	$0
Dana Thompson	TN	Medical Oncology Physician	$2.2M	$0
Joshua Mondschein	TN	Radiation Oncology Physician	$2.1M	$0
Derek Holland	TN	Hematology & Oncology Physician	$2M	$0
Josiah Magnusson	FL	Nuclear Medicine Physician	$1.8M	$0
William Donnellan	TN	Hematology & Oncology Physician	$1.7M	$0
Clint Kingsley	AL	Hematology & Oncology Physician	$1.6M	$22K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Old Harding Pediatric Associates	TN	Pediatrics Physician	$0	$7.3M
Saint Thomas West Hospital	TN	General Acute Care Hospital	$0	$7.1M
Adams & Seaton Pediatric Dentistry	TN	Pediatric Dentistry	$0	$3.7M
Saint Thomas Campus Surgicare LP	TN	Ambulatory Surgical Clinic/Center	$1.3M	$0
Elizabeth Lyons	TN	Rheumatology Physician	$1.2M	$0
Colt Mcclain	TN	Anatomic Pathology & Clinical Pathology Physician	$962.9K	$0
Imaging Alliance Nashville Pet LLC	TN	Radiology Clinic/Center	$456.7K	$255.5K
Gregg Shepard	TN	Hematology & Oncology Physician	$653K	$0
Heikki Kostamaa	TN	Retina Specialist (Ophthalmology) Physician	$608K	$0
Middle Tennessee Imaging LLC	TN	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$506.4K	$10.1K

Kent Shih — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References