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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJack Shields
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    Jack Shields — Billing Profile & Reimbursement Data

    NPI 1730119934 · Bridgeton, NJ · Internal Medicine Physician

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    Jack Shields is a internal medicine physician provider located in Bridgeton, New Jersey. This profile covers 14 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJack Shields
    Address20 Magnolia Ave
    CityBridgeton
    StateNJ
    ZIP08302
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 3, 2006

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

    Payer SourceTotal Paid
    Medicare$106.4K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…530$60$32.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit170$140$23.4K
    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…210$100$20.6K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit70$180$12.4K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$240$5.1K
    G0444Annual depression screening, 5 to 15 minutes150$20$3K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…10$180$2.3K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$180$2K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…30$40$1.2K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…30$40$1.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,16413,640130$90$23.6K
    992131,20514,090100$70$13.1K
    G04396073,37070$120$11.5K
    364151,1822,200110$10$11.1K
    9949632165020$210$5.8K
    992311,1521,61040$40$3.8K
    G04382153020$160$3.7K
    992122,2433,45040$40$3.6K
    9949546759020$150$3.3K
    G040249057020$170$2.9K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…100$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,4224,450740$40$229.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inspira Medical Centers, Inc.NJGeneral Acute Care Hospital$0$227M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Artin AharonianMDDiagnostic Radiology Physician$1M$0
    Steven LeviNJClinical Cardiac Electrophysiology Physician$661.8K$0
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    Ryan Jean-baptisteCADiagnostic Radiology Physician$517K$47K
    Gregory BreenNJPulmonary Disease Physician$549.7K$0
    Adam LevineNJInterventional Cardiology Physician$530.6K$0
    Theodore PlushNJPulmonary Disease Physician$482.8K$0
    Raghuraj TomarNJInternal Medicine Physician$344.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Care, Inc.NJFederally Qualified Health Center (FQHC)$0$16.5M
    Senior Care Centers Of America, Inc.NJAdult Day Care Clinic/Center$0$10.6M
    Bridgeton Public SchoolsNJLocal Education Agency (LEA)$0$9.1M
    John HatzantonisNJInternal Medicine Physician$310.4K$0
    Ronald LorencNJOtolaryngology Physician$25.5K$650

    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. New Jersey Distribution
    Jack Shields — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Jack Shields — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey