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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Shoaf
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    John Shoaf — Billing Profile & Reimbursement Data

    NPI 1881606655 · Statesville, NC · Physician Assistant

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    John Shoaf is a physician assistant provider located in Statesville, North Carolina. This profile covers 14 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
    OrganizationJohn Shoaf
    Address1425 Fern Creek Dr
    CityStatesville
    StateNC
    ZIP28625
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 12, 2006

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

    Payer SourceTotal Paid
    Medicare$54.6K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…180$80$13.9K
    99204The provider sees a new 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 provider…90$90$8.2K
    99203The provider sees a new 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 provider…100$70$6.3K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.60$80$4.9K
    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…90$50$4.7K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.130$30$3.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.30$110$3.5K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing80$30$2.3K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.260$10$1.8K
    92511The provider examines the nasal passages and throat with an endoscope, a tubular instrument with a light source and camera.20$70$1.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,47218,060110$80$15.1K
    3123111320040$120$8.3K
    992136,82716,32070$50$7.1K
    315758926050$80$5K
    992041,0048,43030$110$4.8K
    9251172020$80$4.2K
    9511798190270$10$3.5K
    992036055,45030$70$3.1K
    950247280330$10$2.5K
    692107841040$30$2.3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moore Pediatric Therapy SerivcesNCSpecialist$0$19.1M
    Gaston Family Health Services, Inc.NCFederally Qualified Health Center (FQHC)$0$9.3M
    Peter PurcellNCVascular Surgery Physician$666.8K$0
    James LoganNCRheumatology Physician$533.1K$0
    Steven AndersonNCOrthopaedic Surgery Physician$473.6K$0
    Sanjay PatelNCCardiovascular Disease Physician$288.8K$0
    James WeegarNCPhysician Assistant$284.2K$0
    Parthiv AminMICardiovascular Disease Physician$267.7K$0
    Charles MillerNCUrology Physician$259.4K$0
    David MooreNCDiagnostic Radiology Physician$225.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Homecare Management CorporationNCCommunity/Behavioral Health Agency$0$38.2M
    Piedmont Healthcare, P.A.NCInternal Medicine Physician$0$34.1M
    Addiction Recovery Medical ServicesNCCommunity/Behavioral Health Agency$112.3K$14.1M
    Addiction Recovery Medical Services - ProvidersNCPain Medicine (Anesthesiology) Physician$0$7.6M
    Bob WodeckiNCRheumatology Physician$3.1M$0
    Frank LichtenbergerNCAllergy & Immunology Physician$653.5K$0
    Piedmont Healthcare, PANCEndoscopy Clinic/Center$353K$162.4K
    Jerome WatsonNCPhysical Medicine & Rehabilitation Physician$249.2K$0
    John AllanNCCardiovascular Disease Physician$205.8K$0
    Ahmed ElnaggarNCPulmonary Disease Physician$197.7K$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
    John Shoaf — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina