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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Jill Shumate (NPI 1639236029)

Field	Value
Entity Type	Individual
Organization	Jill Shumate
Address	403 Third Ave.
City	Beckley
State	WV
ZIP	25801
Taxonomy	General Practice Dentistry
NPI Enumerated	January 3, 2007

Payer Source	Total Paid
Medicaid	$773.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	4,070	$40	$150.4K
D2391	Resin‑based composite – one surface, posterior	1,240	$90	$107.8K
D1208	Topical application of fluoride - excluding varnish	4,850	$20	$97K
D0120	Periodic oral evaluation - established patient	4,020	$20	$96.5K
D0330	N/A	1,540	$60	$86.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,230	$50	$64.1K
D2392	Post 2 surface resin‑based composite	380	$110	$40.8K
D0150	Comprehensive oral evaluation – new or established patient	1,250	$30	$40.1K
D0272	N/A	1,430	$20	$32.9K
D1351	Sealant - per tooth	1,090	$30	$28.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Jill Shumate — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	48	130	170	$100	$93.1K
D1351	Sealant - per tooth	38	100	490	$30	$89.6K
D2391	Resin‑based composite – one surface, posterior	26	120	220	$80	$70.7K
D9230	N/A	42	80	280	$40	$52.6K
D1120	Prophylaxis–child	26	270	290	$30	$49.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	61	260	300	$50	$38.5K
D0330	N/A	35	230	210	$50	$37.7K
D0120	Periodic oral evaluation - established patient	31	310	430	$20	$35.8K
D0140	Limited oral evaluation – problem focused	90	220	270	$30	$34.5K
D1208	Topical application of fluoride - excluding varnish	22	240	330	$20	$34.2K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raleigh General Hospital LLC	WV	General Acute Care Hospital	$0	$36.4M
Community Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$35M
Fmrs Health Systems Inc	WV	Community/Behavioral Health Agency	$0	$27M
Health Care Alliance, Inc.	WV	Emergency Medicine Physician	$0	$25M
Jan-care Ambulance Of Raleigh County Inc	WV	Land Ambulance	$1.9M	$20.8M
Appalachian Regional Healthcare, Inc	WV	General Acute Care Hospital	$0	$18.3M
Raleigh County Commission On Aging, Inc.	WV	Home Health Agency	$0	$16.7M
Mountain State Home Health Care Inc	WV	Nursing Care Agency	$0	$16.5M
Family Options Providers, LLC.	WV	Community/Behavioral Health Agency	$0	$16.1M
Raleigh County Commission On Aging, Inc.	WV	Home Health Agency	$0	$13.8M

Jill Shumate — Billing Profile & Reimbursement Data

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Jill Shumate — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References