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

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

Shelton Medical Services,inc (NPI 1730697327)

Field	Value
Entity Type	Organization
Organization	Shelton Medical Services,inc
Address	3525 Nw 7th St
City	Miami
State	FL
ZIP	33125
Taxonomy	General Practice Physician
NPI Enumerated	January 17, 2018

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	84,250	$90	$7.9M
H2019	Therapeutic behavioral services, per 15 minutes	9,840	$60	$619.9K
T1015	Clinic visit/encounter, all-inclusive	2,320	$60	$132.4K
H2000	Comprehensive multidisciplinary evaluation	510	$190	$96.1K
H0032	Mental health service plan development by non-physician	840	$60	$49.4K
H0031	Mental health assessment, by non-physician	1,380	$20	$30.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Shelton Medical Services,inc — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	15	980	4,890	$100	$1.3M
H2019	Therapeutic behavioral services, per 15 minutes	279	1,880	1,010	$70	$544.5K
T1015	Clinic visit/encounter, all-inclusive	218	680	680	$50	$308.4K
H2000	Comprehensive multidisciplinary evaluation	97	400	110	$150	$162.7K
H0032	Mental health service plan development by non-physician	228	1,130	110	$60	$91.7K
H0031	Mental health assessment, by non-physician	238	1,160	210	$40	$87.3K

Nearby Providers

Other providers in the same ZIP code as Shelton Medical Services,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Cerebral Palsy Association Of Miami, Inc.	FL	Clinic/Center	$0	$30.8M
Dva Renal Healthcare Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.8M
Imara Paramo	FL	Occupational Therapist	$1.3M	$0
Fernando Soutullo	FL	Physical Therapist	$435.9K	$0
Michael Pasternac	FL	Foot & Ankle Surgery Podiatrist	$277.7K	$0
Austin Hansen	FL	Podiatrist	$206.2K	$0
Seyed Mostoufi	FL	Physical Medicine & Rehabilitation Physician	$180.7K	$0
Horacio Groisman	FL	Otolaryngology Physician	$144.8K	$0
Jorge Ortega	FL	Pulmonary Disease Physician	$141.9K	$0
Rafael Gonzalez	FL	General Practice Physician	$134.7K	$0

Shelton Medical Services,inc — Billing Profile & Reimbursement Data

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Shelton Medical Services,inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References