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

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

Shannon Clinic (NPI 1770587149)

Shannon Clinic is a family medicine physician provider located in San Angelo, Texas. This profile covers 0 Medicare and 256 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Shannon Clinic
Address	120 E Beauregard Ave
City	San Angelo
State	TX
ZIP	76903
Taxonomy	Family Medicine Physician
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicaid	$26.2M
Medicare	$0

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

256 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	118,160	$50	$5.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	88,340	$60	$4.9M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	23,590	$80	$1.8M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	20,080	$80	$1.6M
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	30,940	$50	$1.5M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	104,010	$10	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12,660	$80	$1.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15,700	$60	$957.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	19,670	$50	$885.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	15,520	$40	$574.3K

Showing 1–10 of 256

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Shannon Clinic — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

256 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	116	710	1,790	$200	$2.1M
93271	In this service, the provider monitors the patient’s heart rhythm while the patient is experiencing cardiac symptoms. He places electrocardiogram leads of an event recorder on the patient's chest,…	4	10	4,480	$40	$1.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	102	730	1,960	$100	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	95	590	740	$170	$969.2K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	39	80	1,160	$220	$768.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	288	340	400	$50	$553.5K
J0585	Injection, onabotulinumtoxina, 1 unit	8	20	200	$1,140	$437.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	41	110	80	$1,260	$398.1K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	66	100	410	$160	$390K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	242	270	130	$570	$318.8K

Showing 1–10 of 256

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Steven Ritter	TX	MOHS-Micrographic Surgery Physician	$919.4K	$0
Luis Duarte	TX	Neurological Surgery Physician	$584.8K	$0
Sujoy Gill	VA	Pulmonary Disease Physician	$564.5K	$0
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Brian Bradley	TX	Urology Physician	$480.8K	$0
Daniel Lucas	AZ	Diagnostic Radiology Physician	$298.3K	$164.6K
Kamiar Massrour	AZ	Diagnostic Radiology Physician	$211.3K	$227.7K
Keerthana Karumbaiah	KY	Cardiovascular Disease Physician	$432.3K	$0
Michael Blanc	TX	Interventional Cardiology Physician	$404.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of San Angelo	TX	Land Ambulance	$1.1M	$1.9M
Christopher Haddad	TX	Cardiovascular Disease Physician	$389.8K	$0
Rudy Haddad	TX	Cardiovascular Disease Physician	$379K	$0
Andrew Kingman	TX	Urology Physician	$363.1K	$0
Samia Geevarghese	TX	Cardiovascular Disease Physician	$306.5K	$0
Ashley Delacerda	TX	Dermatology Physician	$279.8K	$0
Christopher Vanderzant	TX	Neurological Surgery Physician	$244.3K	$0
Peter Chang	TX	Family Medicine Physician	$167.9K	$0
D'laine Westmoreland	TX	Family Medicine Physician	$166.9K	$0
Kenneth Perret	TX	Pulmonary Disease Physician	$141.1K	$0

Shannon Clinic — Billing Profile & Reimbursement Data

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Shannon Clinic — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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