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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Sheaffer
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    Matthew Sheaffer — Billing Profile & Reimbursement Data

    NPI 1871879387 · Morehead City, NC · Adult Health Nurse Practitioner

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    Matthew Sheaffer is a adult health nurse practitioner provider located in Morehead City, North Carolina. This profile covers 15 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
    OrganizationMatthew Sheaffer
    Address4252 Arendell St
    CityMorehead City
    StateNC
    ZIP28557
    TaxonomyAdult Health Nurse Practitioner
    NPI EnumeratedOctober 27, 2011

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

    Payer SourceTotal Paid
    Medicare$73.4K
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…450$50$24.2K
    99214The 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…310$80$23.5K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…760$10$6.9K
    93280In 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…110$50$5.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$50$3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$90$2.9K
    93284In 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…30$70$2.3K
    93283The 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$2.1K
    93291In 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 subcutaneous cardiac rhythm…40$30$1.1K
    93281In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted multiple lead pacemaker system. He changes various…20$50$750

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,51018,060110$80$15.1K
    992323,1405,69070$60$8.1K
    9921380316,32070$50$7.1K
    364153,4413,49090$10$6.4K
    932806323050$40$3.7K
    992221,0603,34020$90$3.3K
    93284509040$60$2.8K
    93283459030$50$2.2K
    992311,2131,50030$40$2.1K
    93281446020$50$1.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolinaeast PhysiciansNCInternal Medicine Physician$0$8.5M
    Robert HolmesNCRheumatology Physician$1.6M$0
    Evan RestelliNCPulmonary Disease Physician$997.9K$0
    Jennifer HolmesNCPulmonary Disease Physician$812.7K$0
    Garland MoellerNCRheumatology Physician$582K$0
    John GouldNCCardiovascular Disease Physician$529.4K$0
    Matthew LevineNCCardiovascular Disease Physician$460.9K$0
    Matthew GroveNCInterventional Cardiology Physician$451K$0
    Christopher HudsonNCClinical Cardiac Electrophysiology Physician$405K$0
    Angela ParkNCClinical Cardiac Electrophysiology Physician$385.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edwards Health Care Services, Inc.NCDurable Medical Equipment & Medical Supplies$0$35.2M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$28.8M
    Pathways Human Services Of North Carolina, LLCNCCommunity/Behavioral Health Agency$0$10.3M
    Carteret Clinic For Adolescents And ChildrenNCPediatrics Physician$0$8.7M
    Morehead City Treatment Center, LLCNCCommunity/Behavioral Health Agency$121.4K$3.9M
    Friendly Medical Transportation LLCNCLand Ambulance$825.8K$2.9M
    Center Of Morehead City, LLCNCAmbulatory Surgical Clinic/Center$888.8K$0
    Town Of Morehead CityNCLand Ambulance$441.5K$387.2K
    Mary LawrenceNCEndocrinology, Diabetes & Metabolism Physician$581.6K$0
    Garlon CampbellNCPain Medicine (Anesthesiology) Physician$495.6K$0

    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. North Carolina Distribution
    Matthew Sheaffer — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina