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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFation Shaholli
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    Fation Shaholli — Billing Profile & Reimbursement Data

    NPI 1700161965 · Muskegon, MI · Physician Assistant

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    Fation Shaholli is a physician assistant provider located in Muskegon, Michigan. This profile covers 16 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
    OrganizationFation Shaholli
    Address1400 Mercy Dr
    CityMuskegon
    StateMI
    ZIP49444
    TaxonomyPhysician Assistant
    NPI EnumeratedOctober 19, 2011

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

    Payer SourceTotal Paid
    Medicare$63.7K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose220$100$22.3K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…290$70$20.6K
    27447In 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…40$140$5.8K
    99214The 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…60$80$4.6K
    99213The 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…40$60$2.6K
    29827The 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$2.3K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$30$990
    29824The 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…30$40$980
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.40$20$870
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg720$1$720

    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

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274479336030$1,470$50.1K
    29827378020$1,040$24.9K
    992149,31415,47080$80$11.4K
    J732356060$100$8K
    206111331070$70$7.2K
    992139,28914,81060$60$6.6K
    29824104020$290$6.4K
    2982374020$210$5K
    29826117020$100$1.9K
    7356441473040$20$1.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hurley Medical CenterMIGeneral Acute Care Hospital$0$118.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Hurley Medical CenterMIEmergency Medicine Physician$0$18.9M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Hurley Medical CenterMIObstetrics & Gynecology Physician$0$8.4M
    Hurley Medical CenterMIPediatrics Physician$0$7.7M
    Rizwan DanishMIHematology & Oncology Physician$1.1M$0
    Jeffrey WeeksLADiagnostic Radiology Physician$652.9K$0
    Arlene RichardsonILDiagnostic Radiology Physician$83.6K$553.9K
    Gregory BortoffNCDiagnostic Radiology Physician$587.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moka CorporationMIIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$126.2M
    Mercy Health PartnersMIGeneral Acute Care Hospital$0$98.1M
    Senior Resources Of West MichiganMICase Management Agency$0$31.5M
    Mgh Family Health CenterMIFederally Qualified Health Center (FQHC)$0$24.4M
    Hackley Community Care Center IncMIFederally Qualified Health Center (FQHC)$0$23.1M
    Orthopaedic Associates Of Muskegon, PCMIOrthopaedic Surgery Physician$0$7.1M
    Port City PediatricsMIPediatrics Physician$0$5.9M
    Radiology Muskegon PCMIDiagnostic Radiology Physician$0$5.9M
    Mercy Specialty ServicesMIInternal Medicine Physician$0$5.3M
    Paul RaphaelianMIRetina Specialist (Ophthalmology) Physician$1.5M$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. Michigan Distribution
    Fation Shaholli — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan