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    OpenPayerNPI Medicare & MedicaidClaude Shackelford
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    Claude Shackelford — Billing Profile & Reimbursement Data

    NPI 1942245683 · Spring Hill, TN · Family Medicine Physician

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    Claude Shackelford is a family medicine physician provider located in Spring Hill, Tennessee. This profile covers 25 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationClaude Shackelford
    Address3098 Campbell Station Pkwy
    CitySpring Hill
    StateTN
    ZIP37174
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 17, 2006

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

    Payer SourceTotal Paid
    Medicare$58K
    Medicaid$7.3K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In 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…790$20$12.6K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.90$120$10.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,280$10$10.2K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…90$80$7.1K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.90$40$3.2K
    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…30$50$1.4K
    93005The 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…320$1$1.3K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.60$20$1.2K
    71100In this diagnostic procedure, the provider performs a two view unilateral radiological study of the ribs. He performs this procedure to identify problems pertaining to the ribs.60$20$1.1K
    G0008Administration of influenza virus vaccine100$10$990

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,43311,370120$80$16.6K
    9132023666050$130$10.8K
    9921310,23911,03080$50$8K
    906943311,30050$70$5.7K
    364151053,310120$10$3.2K
    904804951,16070$30$3.1K
    G00088103,23050$30$2.1K
    7356241379040$20$1.6K
    71046231,60040$10$1.4K
    7363021978030$20$1.3K

    Showing 1–10 of 25

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 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…140$50$6.8K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.50$10$530

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,7193,760610$40$202.3K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.8581,050340$10$33.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kenneth NiermannTNRadiation Oncology Physician$625.8K$0
    Corbin JohnsonTNRadiation Oncology Physician$577.1K$0
    Anthony CmelakTNRadiation Oncology Physician$391.9K$0
    Mark RussellTNDiagnostic Radiology Physician$82.2K$61.7K
    Simone MontoyaTNDiagnostic Radiology Physician$137.8K$0
    Christopher KochTNDiagnostic Radiology Physician$132.7K$360
    Guiyun WuTNNuclear Medicine Physician$130.5K$0
    Heather WalkerTNFamily Nurse Practitioner$128.5K$0
    Kevin McmanusTNDiagnostic Radiology Physician$122.4K$0
    Blake SaltaformaggioTNDiagnostic Radiology Physician$118.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fast Pace Medical Clinic PLLCTNFamily Medicine Physician$0$179.1M
    Tennessee Children's HomeTNEmotionally Disturbed Childrens' Residential Treatment Facility$0$6.5M
    Crestar Labs LLCTNClinical Medical Laboratory$0$2.6M
    John DockeryTNPhysical Medicine & Rehabilitation Physician$743.8K$0
    Christopher RobbTNPediatric Dermatology Physician$395.7K$0
    Benjamin HayesTNPediatric Dermatology Physician$295.2K$0
    Kira MayoTNDermatology Physician$228.8K$0
    Thomas CunninghamTNVascular & Interventional Radiology Physician$161.1K$0
    Elli VelkerTNOccupational Therapist$72.5K$0
    Carrie WebbTNNurse Practitioner$69.1K$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. Tennessee Distribution
    Claude Shackelford — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Claude Shackelford — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee