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

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

Brian Shore (NPI 1811948755)

Brian Shore is a vascular & interventional radiology physician provider located in La Jolla, California. This profile covers 51 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	Brian Shore
Address	10666 N Torrey Pines Rd
City	La Jolla
State	CA
ZIP	92037
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicare	$73.4K
Medicaid	$0

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	1,410	$10	$9.9K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	310	$30	$9.4K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	200	$40	$8.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	400	$10	$4.4K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	80	$50	$4.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	40	$60	$2.8K
49406	The provider uses imaging guidance to direct a catheter through a small incision in the skin to a peritoneal or retroperitoneal area. Once the catheter is properly positioned, the area is drained.	20	$140	$2.7K
37191	The provider inserts a catheter in a vein at the patient’s groin level or the neck and maneuvers the catheter to place a filter device in the inferior vena cava, or the IVC. He visualizes the blood…	10	$180	$1.9K
77012	In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…	30	$60	$1.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	30	$60	$1.7K

Showing 1–10 of 51

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93975	309	370	30	$200	$17.1K
93925	564	1,250	40	$180	$15.4K
74177	1,708	2,090	90	$100	$12.9K
93880	623	2,230	40	$130	$10.7K
93970	106	2,290	40	$100	$8.4K
74176	1,265	1,950	70	$80	$7.2K
70450	2,017	2,040	150	$30	$7K
71250	1,586	1,890	70	$60	$6.7K
93922	616	690	50	$60	$6.2K
20610	2,655	2,790	50	$50	$6K

Brian Shore — Billing Profile & Reimbursement Data

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Brian Shore — 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