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    OpenPayerNPI Medicare & MedicaidShelby Eischens
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    Shelby Eischens — Billing Profile & Reimbursement Data

    NPI 1770529844 · Brookings, SD · Family Medicine Physician

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    Shelby Eischens is a family medicine physician provider located in Brookings, South Dakota. This profile covers 44 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShelby Eischens
    Address400 22nd Ave
    CityBrookings
    StateSD
    ZIP57006
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 20, 2006

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

    Payer SourceTotal Paid
    Medicare$179.9K
    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.

    44 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg6,000$20$114K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…120$100$12.1K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg80$130$10.8K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…90$90$7.8K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.130$50$6.1K
    Q3014Telehealth originating site facility fee210$20$4.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.320$10$2.5K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…90$20$2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.170$10$1.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…160$10$1.6K

    Showing 1–10 of 44

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    44 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08973402,460$20$52.8K
    J92171620160$130$21.6K
    96413610110$100$13.5K
    770675512070$50$13.1K
    770635211070$30$7.5K
    9636552060$50$4.7K
    82306368040$30$3.5K
    9922241945030$90$3.5K
    800615715080$10$2.6K
    844435913070$20$2.5K

    Showing 1–10 of 44

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Rural Health Care, IncMNFederally Qualified Health Center (FQHC)$0$15.9M
    Avera MckennanSDFamily Medicine Physician$0$10.6M
    Rural Health Care, IncMNFederally Qualified Health Center (FQHC)$0$10.1M
    Avera MckennanSDPsychiatry Physician$0$9.1M
    Avera MckennanSDHome Infusion Agency$0$6.7M
    Avera MckennanSDAir Ambulance$0$5.3M
    Avera St MarysSDMulti-Specialty Clinic/Center$0$4.6M
    Rural Health Care, IncSDFederally Qualified Health Center (FQHC)$0$4.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    AdvanceSDCase Management Agency$0$32.7M
    Rural Health Care, IncSDFederally Qualified Health Center (FQHC)$0$2.1M
    East Central Mental Health & Chemical Dependency CenterSDCommunity/Behavioral Health Agency$0$1.6M
    City Of BrookingsSDMulti-Specialty Clinic/Center$0$1.2M
    Sanford ClinicSDFamily Medicine Physician$0$606.7K
    City Of BrookingsSDAnesthesiology Physician$0$551.5K
    City Of BrookingsSDGeneral Acute Care Hospital$0$548.5K
    Brookings Family Dentistry, LLCSDDental Clinic/Center$0$347.9K
    Hy-vee IncSDCommunity/Retail Pharmacy$227.1K$19.1K
    Brookings Area Transit Authority IncSDBus$0$237.7K

    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. South Dakota Distribution
    Shelby Eischens — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota