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

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

Ty Shettron (NPI 1659709574)

Field	Value
Entity Type	Individual
Organization	Ty Shettron
Address	1144 Lake Gulch Rd
City	Castle Rock
State	CO
ZIP	80104
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 1, 2013

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

This profile is effectively single‑payer and Medicare‑centric: lifetime Medicare revenue is $3M while Medicaid revenue is listed as none, so all reported public‑payer billing comes through Medicare. That concentration means the provider’s revenue exposure is tightly linked to Medicare coverage and reimbursement for the specific products and procedures they perform.

Revenue is highly concentrated in a very small set of product codes: the top 3 Medicare codes (Q4262, Q4253, Q4173) account for 94.4% of this provider’s total Medicare revenue. Q4262 alone generates $2.2M (71.9% of Medicare revenue), Q4253 contributes $591.5K (19.4%), and Q4173 adds $93.7K (3.1%), indicating dependence on per‑square‑centimeter biologic membrane/skin‑substitute products for the bulk of billed dollars.

The code mix and descriptions point to an advanced wound‑care / skin‑substitute service line: dominant billing is for add‑on, per‑square‑centimeter amniotic/impax membrane products (Q4262, Q4253, Q4173) and the record includes wound debridement and skin substitute codes (97610, 11000, 11042, 15271, 15275). This pattern suggests the practice’s revenue model centers on supplying and applying biologic grafts and performing adjunctive wound procedures rather than being driven primarily by high volumes of office E/M visits.

Competitive standing for the top revenue driver is moderate but not dominant: Q4262 accounts for $2.2M and ranks #45 of 141 nationally (69th percentile) and is described as typical, unremarkable volume for this code. In plain terms, the provider is a visible national participant for Q4262 but not a top‑tier outlier; the revenue concentration stems from this code’s product value and volume combination rather than from an extreme market share.

By contrast, the other high‑revenue Q‑codes show limited national volume relative to peers: Q4253 ($591.5K) ranks #54 of 73 (25th percentile) and Q4173 ($93.7K) ranks #17 of 19 (11th percentile), both described as typical, unremarkable volume for these codes. These ranks indicate the provider’s use of multiple branded membrane products but with national volumes for those specific products that sit on the lower end of peer distributions.

Traditional evaluation and management activity is present but represents a small share of revenue: 99214 shows 434 claims for $37.8K (1.2% of Medicare revenue) and ranks #61400 of 479517 (87th percentile) with a label of typical, unremarkable volume for this code. This suggests the practice does perform office/outpatient visits consistent with wound‑care follow‑up, but E/M services are a minor component of billed Medicare dollars compared with the biologic product codes.

Tenure and billing history show an established practice pattern: the NPI was enumerated 2013-11-01 (~13 years ago), providing over a decade of Medicare billing history during which the provider appears to have developed a concentrated, product‑driven wound‑care profile. That tenure supports interpretation of the observed code mix as a stable service focus rather than a transient billing spike.

From a risk and business‑line perspective, reliance on a few high‑revenue, per‑square‑centimeter implantable/biologic codes (top 3 = 94.4% of Medicare revenue) creates sensitivity to changes in Medicare coverage, coding guidance, or product pricing. Analysts should treat this provider as a specialized wound‑care supplier/clinician with concentrated Medicare exposure rather than a diversified ambulatory medical practice, and monitor reimbursement policy and national utilization patterns for the implicated Q‑codes.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	2,170	$1,010	$2.2M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	790	$750	$591.5K
Q4173	Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)	280	$330	$93.7K
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…	430	$90	$37.8K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	110	$320	$33.4K
15002	The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…	110	$240	$25.5K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	220	$110	$23.5K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	90	$110	$10K
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…	80	$120	$9.8K
11000	The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.	310	$30	$8.6K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Ty Shettron — 4 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	4	10	1,500	$970	$4.8M
Q4253	7	10	3,440	$520	$3.5M
Q4173	1	10	280	$330	$93.7K
97610	4	10	170	$320	$47.9K
15275	6	10	90	$110	$11.4K
99214	479	8,160	80	$80	$11.3K
15271	1	20	70	$100	$8.9K
15002	1	10	30	$200	$8.6K
11042	59	130	80	$70	$8.3K
99215	837	3,230	40	$110	$8.1K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crystal Birdsong	WA	Nurse Practitioner	$2M	$0
Lizbet Rubio	CO	Family Nurse Practitioner	$1.9M	$0
Sarah Jane Zanone	CO	Nurse Practitioner	$1.2M	$0
Marcel Marcos	CO	Family Nurse Practitioner	$1M	$0
Kindra Leduc	CO	Adult Health Nurse Practitioner	$197.2K	$0
Jocelyn Ko	WA	Internal Medicine Physician	$146.7K	$50.3K
Alexandra Letsinger	CO	Nurse Practitioner	$83.4K	$0
Peter Gala	CO	Family Nurse Practitioner	$78.4K	$0
Steven Ginsburg	CO	Nurse Practitioner	$64.9K	$0
Michael Cleveley	CO	Family Nurse Practitioner	$56.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain High Home Care	CO	Home Health Agency	$0	$6.1M
Marti Perkins	CO	In Home Supportive Care Agency	$0	$3.8M
Town Of Castle Rock	CO	Land Ambulance	$300.9K	$750.6K
Jeffrey Jones	CO	Ophthalmology Physician	$411.9K	$0
Jason Mammino	CO	Dermatology Physician	$181.6K	$0
Phaedra Hockman	CO	Physician Assistant	$142.4K	$0
Walgreen Co	CO	Community/Retail Pharmacy	$128.8K	$5.8K
Belton Hallmark	CO	Family Medicine Physician	$127.1K	$0
Doris Kleinert	CO	Family Medicine Physician	$97.5K	$0
Gordon Blair	CO	Orthopedic Physical Therapist	$90.5K	$0

Ty Shettron — 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