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

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

Shea Clinic (NPI 1760447015)

Field	Value
Entity Type	Organization
Organization	Shea Clinic
Address	6133 Poplar Pike
City	Memphis
State	TN
ZIP	38119
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicare	$363.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69930	The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…	10	$20,160	$262.1K
69801	The provider makes a surgical incision into the labyrinth (the inner ear) and instills or perfuses one or more drugs, such as a steroid or an antibiotic, through the tympanic membrane.	340	$110	$36.5K
30130	Excision of the inferior turbinate is generally performed due to hypertrophy of the turbinate which causes airway obstruction.	60	$420	$26.9K
21235	The provider applies autogenous cartilage graft, taken from the patient’s own ear, to the nose or ear, to repair deformity due to fracture, injury, tumor resection, or congenital defect.	20	$970	$14.6K
31256	In this procedure, the provider inserts an endoscope into the nasal cavity. He then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus.	20	$510	$12.1K
30520	Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.	20	$490	$11.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Shea Clinic — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69930	6	10	20	$2,450	$44.1K
69801	1	10	60	$120	$17.2K
30130	1	10	40	$370	$16.1K
21235	1	10	20	$590	$8.8K
30520	4	30	10	$490	$8.3K
31256	1	10	20	$410	$8.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jon Staffel	TN	Specialist	$169.5K	$0
Christopher Hall	TN	Otolaryngology Physician	$132.6K	$0
Paul Shea	TN	Specialist	$114.9K	$0
Khwaja Ahmed	TN	Otolaryngology Physician	$63.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ut Medical Group Inc	TN	Multi-Specialty Clinic/Center	$0	$53.1M
Amisub (sfh), Inc.	TN	General Acute Care Hospital	$0	$20.2M
Maxim Healthcare Services, Inc.	TN	Home Health Agency	$0	$18.5M
Mid-south Maternal Fetal Medicine PC	TN	Maternal & Fetal Medicine Physician	$0	$8.1M
Elect Home Care, LLC	TN	In Home Supportive Care Agency	$0	$7.6M
First Choice Community Services, Inc	TN	In Home Supportive Care Agency	$0	$7.5M
Tennessee Emergency Physicians, PLLC	TN	Emergency Medicine Physician	$0	$6.3M
Dar Salud Care PLLC	TN	Family Medicine Physician	$0	$5.2M
Silver Angels Of Tennessee - Shelby, LLC	TN	In Home Supportive Care Agency	$0	$5.1M
Abundant Care LLC	TN	In Home Supportive Care Agency	$0	$4.1M

Shea Clinic — Billing Profile & Reimbursement Data

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Shea Clinic — 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