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

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

Julie Shea (NPI 1770658254)

Julie Shea is a adult health nurse practitioner provider located in Boston, Massachusetts. This profile covers 10 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Julie Shea
Address	75 Francis Street
City	Boston
State	MA
ZIP	02115
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicare	$91.8K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	650	$80	$49.7K
93288	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…	380	$30	$11.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	$110	$10.9K
93289	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the existing parameters of an already implanted single, dual, or multiple lead defibrillator system. He…	180	$40	$6.7K
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…	140	$40	$6K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	80	$40	$3.1K
93283	The provider evaluates and adjusts the parameters, or settings, of various operating functions of a previously implanted dual lead transvenous implantable cardioverter defibrillator system, a device…	30	$60	$1.8K
93284	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of various operating functions of an already implanted multiple lead defibrillator…	20	$40	$880
99443	N/A	10	$60	$870
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	20	$20	$360

Julie Shea — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	660	15,410	110	$80	$15.6K
99215	1,327	6,360	40	$120	$8.9K
99213	4,198	13,700	70	$60	$8.8K
93294	218	220	130	$20	$4.9K
99443	1,647	1,960	30	$80	$3.8K
93280	69	260	50	$50	$3.2K
93284	40	80	20	$60	$2K
93288	2	100	30	$30	$1.7K
93283	21	70	20	$60	$1.7K
93289	1	50	20	$40	$1.3K