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    OpenPayerNPI Medicare & MedicaidDavid Shimm
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    David Shimm — Billing Profile & Reimbursement Data

    NPI 1770570731 · Beckley, WV · Radiation Oncology Physician

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    David Shimm is a radiation oncology physician provider located in Beckley, West Virginia. This profile covers 29 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
    OrganizationDavid Shimm
    Address275 Dry Hill Rd
    CityBeckley
    StateWV
    ZIP25801
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedOctober 4, 2005

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

    Payer SourceTotal Paid
    Medicare$636.9K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the sole recorded public-payer activity: Total Medicare revenue is $636.9K and Medicaid revenue is none (no Medicaid billing on file), so the practice is effectively single‑payer in the available public data. That concentration means virtually all reported government‑payer revenue flows through Medicare for this NPI.

    Revenue is highly concentrated in a small set of radiation‑delivery codes: the precomputed top three Medicare codes — G6015 (29.1%), 77014 (17.0%), and G6012 (13.8%) — together account for 59.9% of this provider’s Medicare revenue. This concentration indicates most Medicare dollars derive from a narrow set of treatment‑delivery services rather than a broad mix of office visits or ancillary procedures.

    The code mix and descriptions point to a practice focused on external beam radiation and IMRT delivery. High volumes in G6015 (740 claims, $250 avg paid/claim, $185K revenue) and G6012 (535 claims, $164 avg paid/claim, $87.7K revenue) indicate routine delivery of modulated, custom‑blocked treatments, while the presence of 77301 (38 claims, $1301 avg paid/claim, $49.4K revenue) shows IMRT planning is billed but represents a smaller share of revenue than delivery codes.

    Operational throughput is visible in claim counts for delivery services: 77014 has 1.2K claims ($88 avg paid/claim, $108.3K revenue), G6015 has 740 claims, and G6012 has 535 claims, which together suggest steady day‑to‑day treatment volumes. Supporting codes for ongoing care such as 77336 (259 claims, $61 avg paid/claim, $15.8K revenue) and 77280 (182 claims, $191 avg paid/claim, $34.8K revenue) are present and reinforce a treatment‑centric workflow with regular physics and simulation activity.

    Competitive standing by code is mixed: the provider reports G6012 and 77014 at the 90th percentile nationally (both described as 'typical, unremarkable volume' in the source), indicating above‑average activity for those delivery codes, while G6015 is at the 63th percentile ('typical, unremarkable volume'), reflecting more middling national placement. A few specialty codes such as 77470 appear at higher relative ranks (77470 at the 95th percentile, listed as 'typical, unremarkable volume'), but overall the provider is not positioned as a dominant national outlier across the full code set.

    The revenue mix shows modest utilization of evaluation & management visits versus treatment codes: combined E/M codes (99214, 99213, 99205, 99204, 99212) appear but account for relatively small shares (examples: 99214 — 147 claims, $90 avg paid/claim, $13.2K revenue; 99213 — 152 claims, $60 avg paid/claim, $9.1K revenue). This pattern underscores a practice model that bills primarily for radiation planning/delivery rather than office‑visit volume.

    The NPI tenure (enumerated 2005-10-04, approximately 21 years ago) indicates an established provider presence in Beckley, WV. Combined with the Medicare‑only billing footprint and concentration in a few technical radiation codes, this suggests an experienced radiation‑oncology practice with revenue that is sensitive to Medicare utilization and reimbursement changes for its key delivery codes.

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session740$250$185K
    77014N/A1,230$90$108.3K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev540$160$87.7K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…40$1,300$49.4K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.180$190$34.8K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…230$150$33.4K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…260$60$15.8K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…50$320$15.6K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.160$90$14.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…40$340$13.5K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60153101,140$250$332K
    G6012110330$160$59.8K
    77014620640$50$46.3K
    77427720170$150$31K
    77301112040$640$30.5K
    77336310340$60$22.4K
    964131010170$90$19.5K
    773001520190$40$14.7K
    992149932,740100$70$11.8K
    77338102050$230$11.5K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Rainelle Medical Center IncWVFederally Qualified Health Center (FQHC)$0$14.3M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Beckley Oncology Associates IncWVRadiation Oncology Clinic/Center$0$5M
    Rajiv KhannaWVMedical Oncology Physician$2M$0
    Charleston Area Medical Center, Inc.WVHospitalist Physician$0$1.4M
    Mayez El-harakeWVMedical Oncology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raleigh General Hospital LLCWVGeneral Acute Care Hospital$0$36.4M
    Community Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$35M
    Fmrs Health Systems IncWVCommunity/Behavioral Health Agency$0$27M
    Health Care Alliance, Inc.WVEmergency Medicine Physician$0$25M
    Jan-care Ambulance Of Raleigh County IncWVLand Ambulance$1.9M$20.8M
    Appalachian Regional Healthcare, IncWVGeneral Acute Care Hospital$0$18.3M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$16.7M
    Mountain State Home Health Care IncWVNursing Care Agency$0$16.5M
    Family Options Providers, LLC.WVCommunity/Behavioral Health Agency$0$16.1M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$13.8M

    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. West Virginia Distribution
    David Shimm — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia