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

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

Deborah Sheldon (NPI 1649538448)

Field	Value
Entity Type	Individual
Organization	Deborah Sheldon
Address	3219 Central Ave Ste 200
City	Kearney
State	NE
ZIP	68847
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	April 30, 2012

Payer Source	Total Paid
Medicare	$27.3K
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
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$110	$6.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	120	$50	$5.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$70	$5.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	130	$30	$4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$80	$3.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	30	$50	$1.5K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	40	$20	$840

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. Nebraska Distribution

Deborah Sheldon — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	424	830	80	$90	$11.7K
99232	513	1,390	80	$60	$8.6K
99223	326	1,060	40	$120	$6.3K
99222	213	880	30	$90	$3.5K
99497	92	170	40	$50	$3.5K
99231	44	520	40	$30	$2K
G0316	7	20	40	$20	$980

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborhealth Corporation	MA	Community Health Clinic/Center	$0	$17M
Boston University Medical Center Radiologists, Inc.	MA	Diagnostic Radiology Physician	$0	$12.8M
The Physician Network	NE	Family Medicine Physician	$0	$3.1M
Peter Lou	MA	Ophthalmology Physician	$371.5K	$0
Daniel Mcgowan	NE	Interventional Cardiology Physician	$338K	$0
Catherine Brignoni	CA	Neurology Physician	$328.9K	$0
Margaret Chapman	WA	Neuroradiology Physician	$291.6K	$8.8K
Ajay Singh	PA	Diagnostic Radiology Physician	$290.3K	$6K
Nikolaos Michalacos	MA	Internal Medicine Physician	$251.5K	$0
Imtiaz Islam	NE	Nephrology Physician	$230.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Samaritan Hospital	NE	General Acute Care Hospital	$0	$9.8M
Alpha Rehabilitation, P.C.	NE	Rehabilitation Clinic/Center	$0	$1.2M
Overland Trails Renal Care Group, LLC	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Michael Burke, Psy.d. And Associates, P.C.	NE	Mental Health Counselor	$0	$957.7K
Anne Marie Dale	NE	Professional Counselor	$0	$899.7K
Apollo Medflight, LLC	NE	Air Ambulance	$745.5K	$56.7K
First Care Medical, PC	NE	Clinic/Center	$0	$725.6K
Kearney Pain Treatment Center, LLC	NE	Ambulatory Surgical Clinic/Center	$620.3K	$0
Tooth Fairy PC	NE	Pediatric Dentistry	$0	$523.8K
Ryan Smith Counseling Services, LLC	NE	Mental Health Counselor	$0	$459K

Deborah Sheldon — Billing Profile & Reimbursement Data

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Deborah Sheldon — 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