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

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

Mohamed Shaath (NPI 1659614915)

Mohamed Shaath is a orthopaedic trauma physician provider located in Orlando, Florida. This profile covers 10 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Mohamed Shaath
Address	1222 S Orange Ave
City	Orlando
State	FL
ZIP	32806
Taxonomy	Orthopaedic Trauma Physician
NPI Enumerated	April 4, 2013

Payer Source	Total Paid
Medicare	$63.3K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	30	$960	$25K
27506	In this procedure, the provider performs an open reduction of the femoral shaft fracture with insertion of intramedullary fixation, with or without external fixation. The main goal of the procedure…	10	$1,080	$14.1K
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…	80	$130	$10.8K
27640	The provider removes a part of diseased portion of tibia to treat osteomyelitis. He performs this procedure either by removing the middle portion of bone or scooping out diseased bone, which leaves a…	10	$390	$5K
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…	20	$90	$2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	30	$70	$2K
20694	The provider removes an external fixation system while the patient is under anesthesia. Skeletal fixation devices are used to join two skeletal parts and maintain their normal alignment while helping…	10	$140	$1.9K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	40	$30	$1K
73552	In this diagnostic procedure, the provider takes an X–ray image of the femur (thigh bone) from a minimum of two projections (directions or angles) to check for fracture, swelling, or other reason for…	20	$30	$650
73502	In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…	20	$30	$650

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	48	290	20	$780	$15.5K
27506	3	10	10	$860	$12.9K
99223	4,047	11,110	60	$130	$12.5K
99213	23,536	30,010	80	$60	$12K
99222	6,033	8,970	30	$100	$6K
27640	1	10	10	$390	$5K
20694	2	10	20	$150	$2.5K
73502	1,820	2,260	50	$20	$1.9K
73610	441	1,480	30	$20	$900
73552	343	790	20	$10	$380

Mohamed Shaath — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References