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

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

Kathy Shafer (NPI 1750499729)

Field	Value
Entity Type	Individual
Organization	Kathy Shafer
Address	3162 Traylor Trl
City	Litchfield
State	IL
ZIP	62056
Taxonomy	General Practice Dentistry
NPI Enumerated	August 29, 2006

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	13,400	$80	$1M
D2392	Post 2 surface resin‑based composite	4,470	$80	$348.7K
D9230	N/A	9,190	$30	$303.3K
D2391	Resin‑based composite – one surface, posterior	4,010	$60	$256.6K
D2740	N/A	530	$440	$234.7K
D0120	Periodic oral evaluation - established patient	8,830	$30	$229.7K
D2930	N/A	1,660	$140	$227.4K
D0330	N/A	5,880	$40	$223.3K
D1120	Prophylaxis–child	7,010	$30	$217.3K
D0140	Limited oral evaluation – problem focused	7,420	$20	$178.1K

Showing 1–10 of 42

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Kathy Shafer — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D3330	N/A	2	10	70	$470	$203.4K
D2930	N/A	25	140	190	$160	$180.3K
D1120	Prophylaxis–child	184	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	391	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	50	510	230	$160	$83.3K
D3310	Endodontic therapy, anterior tooth (excluding final restoration)	4	20	50	$300	$80.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	176	490	160	$100	$64.4K
D0120	Periodic oral evaluation - established patient	138	2,170	1,010	$30	$64.3K
D2740	N/A	4	70	60	$340	$58.3K
D5110	N/A	11	70	40	$400	$55.7K

Showing 1–10 of 42

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Macoupin County Public Health Department	IL	Federally Qualified Health Center (FQHC)	$0	$9.8M
Arif Habib	IL	Psychiatry Physician	$91.4K	$1.9M
Dov Rapoport	IL	Psychiatry Physician	$126K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Litchfield Family Practice Center	IL	Family Medicine Physician	$0	$12.3M
Mohamed Megahy	IL	Specialist	$277K	$0
Saleem Mahmood	IL	Radiation Oncology Physician	$58.1K	$0
Keith Cochran	IL	Family Medicine Physician	$49.7K	$2.5K

Kathy Shafer — Billing Profile & Reimbursement Data

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Kathy Shafer — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References