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

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

Shawn Gao (NPI 1740424704)

Field	Value
Entity Type	Individual
Organization	Shawn Gao
Address	3535 S Jefferson Ave
City	Saint Louis
State	MO
ZIP	63118
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 21, 2009

Payer Source	Total Paid
Medicare	$141.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,830	$60	$102.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	230	$80	$19.1K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	170	$60	$10.6K
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…	70	$50	$3.6K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	80	$30	$2.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	50	$40	$2.1K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	20	$40	$600

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Shawn Gao — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	246	520	210	$70	$28.3K
99308	16	490	170	$50	$19.3K
11042	141	210	90	$60	$10.4K
99213	4,066	8,730	70	$50	$7K
99307	62	140	70	$30	$3.9K
99304	7	80	30	$60	$3.4K
99347	74	90	40	$30	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jawed Siddiqui	MO	Internal Medicine Physician	$59.9K	$475.6K
Tiffany Nelson	MO	Family Nurse Practitioner	$382.6K	$0
Laishang Zhang	MO	Psychiatry Physician	$221.3K	$6.5K
Miles Hartman	MO	Psychiatric/Mental Health Nurse Practitioner	$203.8K	$0
Anis Berhil	MO	Hospitalist Physician	$185.4K	$0
Emily Garrett-pruett	VA	Psychiatric/Mental Health Nurse Practitioner	$140.4K	$1.4K
Katie Walton	MO	Nurse Practitioner	$71.5K	$58K
Phylicia Little	MO	Family Nurse Practitioner	$67.7K	$0
Danna France	MO	Family Nurse Practitioner	$37.1K	$0
Joseph Reighard	MO	Family Nurse Practitioner	$34.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Places For People, Inc	MO	Community/Behavioral Health Agency	$0	$123.7M
Premium In-home Care LLC	MO	Home Health Agency	$0	$26.9M
Advanced Comfort Health Solutions LLC	MO	In Home Supportive Care Agency	$0	$12.1M
Sa Hospital Acquisition Group	MO	General Acute Care Hospital	$0	$8.8M
Agape Community Healthcare, P.C.	MO	In Home Supportive Care Agency	$0	$6.4M
Arena Manor, Inc.	MO	Assisted Living Facility	$0	$5.2M
Cherokee Residential Care Acquisition, LLC	MO	Assisted Living Facility	$0	$4.3M
Raymond Brickhouse	MO	Foot & Ankle Surgery Podiatrist	$1.3M	$197.7K
Valinda Allen	MO	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$111.8K	$48.9K
Sanjeev Kamat	MO	Psychiatry Physician	$114.7K	$0

Shawn Gao — Billing Profile & Reimbursement Data

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Shawn Gao — 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