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

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

Shane Hess (NPI 1841269081)

Field	Value
Entity Type	Individual
Organization	Shane Hess
Address	6850 Lows Rd
City	Bloomsburg
State	PA
ZIP	17815
Taxonomy	Physical Therapist
NPI Enumerated	March 17, 2006

Payer Source	Total Paid
Medicare	$106.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,190	$20	$54.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	1,060	$20	$15.9K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	200	$70	$13.3K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	1,400	$10	$8.4K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	160	$50	$8.3K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	280	$20	$5.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Shane Hess — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	77	3,260	600	$20	$15.3K
97112	1,500	2,480	390	$20	$12.1K
97140	268	2,640	310	$20	$7.6K
97164	16	580	30	$50	$2.6K
97162	3	1,400	30	$70	$2.5K
G0283	16	910	180	$10	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chris O'neil	PA	Family Medicine Physician	$615.3K	$8K
Lori Masteller	PA	Family Medicine Physician	$484.1K	$11.8K
Christopher Kowalski	PA	Surgery Physician	$234.6K	$0
Mark Williams	PA	Orthopaedic Surgery Physician	$105.3K	$0
Suzanne Hess	PA	Occupational Therapist	$40.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$14.6M
Geisinger Bloomsburg Hospital	PA	General Acute Care Hospital	$0	$7.2M
Family Care Home Health Agency LLC	PA	Home Health Agency	$0	$6.3M
Steve Karp	PA	Radiation Oncology Physician	$460.7K	$0
Susquehanna Surgery Center Inc	PA	Ambulatory Surgical Clinic/Center	$404.7K	$0
David Portonova	PA	Foot & Ankle Surgery Podiatrist	$181.1K	$0
Peter Wei	PA	Diagnostic Radiology Physician	$117.5K	$2.1K
Reginald Mbolda	PA	Family Medicine Physician	$47.3K	$2K
Margaret Moore	PA	Family Medicine Physician	$43.7K	$0
Nancy Kelley	PA	Neurology Physician	$27.2K	$0

Shane Hess — Billing Profile & Reimbursement Data

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Shane Hess — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References