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

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

Thomas Shaver (NPI 1699024505)

Field	Value
Entity Type	Individual
Organization	Thomas Shaver
Address	301 W Poplar St Ste 210
City	Walla Walla
State	WA
ZIP	99362
Taxonomy	Physician Assistant
NPI Enumerated	September 6, 2012

Payer Source	Total Paid
Medicare	$39.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	220	$60	$12.3K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	230	$40	$9.9K
99203	The provider sees a new 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 provider…	120	$70	$7.8K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	20	$140	$2.8K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	20	$120	$1.7K
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	10	$160	$1.7K
20605	In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…	50	$30	$1.4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	660	$1	$660
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	20	$30	$390
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	20	$20	$310

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Thomas Shaver — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	233	320	30	$1,190	$46.3K
29827	43	90	20	$1,130	$26.1K
23472	88	100	20	$770	$20.8K
29824	22	30	20	$340	$8.8K
99213	1,208	9,690	60	$60	$6.5K
20610	38	790	50	$50	$3.3K
99203	254	3,140	30	$70	$3.3K
29826	22	60	20	$100	$2K
29822	3	10	10	$120	$1.5K
20605	10	90	20	$40	$1K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	WA	Critical Access Hospital	$0	$26.8M
Providence Health & Services - Washington	WA	General Acute Care Hospital	$0	$17.3M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$7.6M
Providence Health & Services - Washington	WA	Emergency Medicine Physician	$0	$4.3M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$2.9M
Bryan Ager	WA	Radiation Oncology Physician	$812.1K	$0
Daryl Sudasena	WA	Interventional Cardiology Physician	$380.6K	$0
Joanne Lynn Perez	WA	Internal Medicine Physician	$332.6K	$0
Suwong Wongsuwan	WA	Cardiovascular Disease Physician	$329.4K	$0
Jon Gardner	WA	Internal Medicine Physician	$291.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group Washington, PLLC	WA	Rural Health Clinic/Center	$0	$19M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Jonathan Gantz	WA	General Practice Dentistry	$0	$4.7M
City Of Walla Walla	WA	Land Ambulance	$527.2K	$4.1M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$3.7M
Privia Medical Group Washington, PLLC	WA	Clinic/Center	$0	$2.8M
Norco, Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.5M
David Panther	WA	Dermatology Physician	$762.5K	$0
Andrew Edwards	WA	Ophthalmology Physician	$698.5K	$0
Walla Walla Clinic, Inc.	WA	Ambulatory Surgical Clinic/Center	$414.6K	$0

Thomas Shaver — 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