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

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

Kenneth Prather (NPI 1023086931)

Field	Value
Entity Type	Individual
Organization	Kenneth Prather
Address	700 W Grove St
City	El Dorado
State	AR
ZIP	71730
Taxonomy	General Practice Physician
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicare	$26.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	350	$70	$24.1K
97598	After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…	50	$30	$1.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$960

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Kenneth Prather — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97597	1	50	50	$50	$3.3K
99212	656	1,000	40	$30	$2.2K
97598	1	10	50	$30	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossett Health Foundation	AR	Critical Access Hospital	$0	$3.4M
Harvinder Dod	AR	Cardiovascular Disease Physician	$1.4M	$0
Hunter Carrington	AR	Family Medicine Physician	$334K	$0
Phillip Glasgow	AR	Family Medicine Physician	$267.9K	$0
Charles Caldwell	AR	Family Medicine Physician	$214.6K	$0
Christopher Bell	AR	Family Medicine Physician	$119.8K	$0
Muazzum Aman	AR	Family Medicine Physician	$116.7K	$0
Joshua Motes	AR	Family Medicine Physician	$116.2K	$0
Zachary Roe	AR	Emergency Medicine Physician	$108.9K	$0
Bradley Walsh	AR	Family Medicine Physician	$102.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Arkansas Developmental Center For Children And Families	AR	Developmentally Disabled Services Day Training Agency	$0	$20.4M
Ryan Hanry, Dds, PA	AR	Pediatric Dentistry	$0	$7M
Promed Ambulance,inc.	AR	Land Ambulance	$1.8M	$4.5M
Mcsa LLC	AR	General Acute Care Hospital	$0	$4.3M
South Arkansas Regional Health Center	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Sama Healthcare Services, PA	AR	Primary Care Clinic/Center	$0	$3M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$2.6M
Hope Landing, Inc.	AR	Speech-Language Pathologist	$0	$2.3M
Renal Treatment Centers-southeast, LP.	AR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Dr Albert Obiozo Pediatrics Inc	AR	Pediatrics Physician	$0	$1.6M

Kenneth Prather — Billing Profile & Reimbursement Data

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Kenneth Prather — 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