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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShawn Mcguire
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    Shawn Mcguire — Billing Profile & Reimbursement Data

    NPI 1669411757 · Madison, WI · Diagnostic Radiology Physician

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    Shawn Mcguire is a diagnostic radiology physician provider located in Madison, Wisconsin. This profile covers 68 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShawn Mcguire
    Address700 S Park St
    CityMadison
    StateWI
    ZIP53715
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJune 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$168.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    68 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.230$80$17.1K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.150$100$15.1K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…160$90$13.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.160$80$12.2K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…240$40$8.4K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…240$30$6.7K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.200$30$5.8K
    72158In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.40$140$5.5K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.60$90$5.4K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…60$90$5.1K

    Showing 1–10 of 68

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    68 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788154817030$260$15.5K
    77067186500140$60$14.5K
    78816253020$280$10.2K
    6448313717040$160$9.8K
    74177145550100$70$8.5K
    77063181480150$30$8.2K
    70450145530120$30$4.6K
    721481831040$70$3.9K
    7127516549040$60$3.5K
    7417613250040$60$3.4K

    Showing 1–10 of 68

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dean Health Systems, IncWIAllergy & Immunology Physician$0$26.3M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$2M$856.3K
    Infinity Healthcare Physicians, S.c.WIEmergency Medicine Physician$0$2.5M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$1.8M$750K
    Radiology Associates Of The Fox Valley, ScWIDiagnostic Radiology Physician$0$2.1M
    Amol KulkarniWIOphthalmology Physician$2.1M$0
    Mitchell WolfWIOphthalmology Physician$1.6M$0
    James BellWIOphthalmology Physician$1.4M$0
    Shannon O'maharWIHematology & Oncology Physician$1.1M$0
    William WinnMNDiagnostic Radiology Physician$997.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Meriter Hospital, Inc.WIGeneral Acute Care Hospital$0$25.5M
    Ssm Health Care Of Wisconsin, Inc.WIGeneral Acute Care Hospital$0$14.7M
    Ssm Health Care Of Wisconsin, IncWIClinical Medical Laboratory$0$6.4M
    Madison Surgery Center, Inc.WIAmbulatory Surgical Clinic/Center$3.6M$549.2K
    Ryan Bros Ambulance LLCWILand Ambulance$1.5M$2.3M
    Madison Emergency Physicians, ScWIEmergency Medicine Physician$0$3.2M
    Emergency Medicine Associates Of Madison, ScWIEmergency Medicine Physician$0$2.1M
    Meriter Health Enterprises Inc.WIClinical Medical Laboratory$680.6K$1M
    Michelle LaknerWINurse Practitioner$660.9K$0
    Lisa LepeakWIHematology & Oncology Physician$488.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Shawn Mcguire — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin