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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Shankle
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    William Shankle — Billing Profile & Reimbursement Data

    NPI 1932246584 · Newport Beach, CA · Neurology Physician

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    William Shankle is a neurology physician provider located in Newport Beach, California. This profile covers 8 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.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Shankle
    Address3900 W Coast Hwy Ste 310
    CityNewport Beach
    StateCA
    ZIP92663
    TaxonomyNeurology Physician
    NPI EnumeratedJanuary 31, 2007

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

    Payer SourceTotal Paid
    Medicare$246.8K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The 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…600$140$84.6K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…590$110$63.9K
    99491The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…790$70$53.6K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…580$40$21.5K
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…480$30$13K
    99443N/A50$110$5.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…50$50$2.4K
    99442N/A30$80$2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    994909001,060210$50$25.8K
    9949113130110$70$18K
    9921532915,36050$130$14.4K
    96132536060$100$9.6K
    994438462,71030$90$5.8K
    994421,8453,53030$60$4.1K
    96136227040$30$2.6K
    G2212231,10040$30$2.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph SedrakTXMOHS-Micrographic Surgery Physician$4.4M$0
    John HwangCARetina Specialist (Ophthalmology) Physician$1.9M$1.7M
    Charles EifrigCARetina Specialist (Ophthalmology) Physician$2.6M$885K
    Kourosh DastgheibCAOphthalmology Physician$210.8K$3.1M
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Desmond McguireCARetina Specialist (Ophthalmology) Physician$1.4M$1.1M
    Hema RamkumarCARetina Specialist (Ophthalmology) Physician$2M$54.9K
    Vivian LaquerCADermatology Physician$94.8K$1.7M
    Tiffany VoCAPhysician Assistant$1.6M$0
    Andrew BreithauptCAMOHS-Micrographic Surgery Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newport Bay Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.8M$242.6K
    David NabiCAVascular Surgery Physician$1.4M$0
    Ryan KleinCAInternal Medicine Physician$1.3M$0
    Hoag Outpatient Centers, LLCCAAmbulatory Surgical Clinic/Center$1.2M$0
    Howard MangoCAAudiologist$1M$148K
    Rafael PenunuriCAInternal Medicine Physician$1.1M$0
    Melissa SmithCAPlastic Surgery Physician$754.8K$255K
    Newport Beach Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$967.7K$0
    George SiegelCAOccupational Therapist$891.6K$0
    Christopher O'carrollCANeurology Physician$655.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    William Shankle — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California