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

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

Walker Womens Specialists PC (NPI 1023201258)

Field	Value
Entity Type	Organization
Organization	Walker Womens Specialists PC
Address	304 Blackwell Dairy Road
City	Jasper
State	AL
ZIP	35504
Taxonomy	Specialist
NPI Enumerated	August 21, 2007

Payer Source	Total Paid
Medicaid	$968K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	1,090	$560	$602.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	4,000	$30	$127.8K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	2,110	$50	$105.3K
G9357	Post-partum screenings, evaluations and education performed	520	$110	$54.2K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	770	$30	$22.2K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	360	$50	$18.9K
H1000	Prenatal care, at-risk assessment	210	$70	$14.5K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	300	$20	$6.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	320	$20	$4.7K
99213	The 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…	4,310	$1	$4.3K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Walker Womens Specialists PC — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	10	80	150	$1,540	$787.7K
99214	The 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…	1,651	1,990	680	$60	$201.7K
99213	The 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…	386	1,990	560	$40	$185.6K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	18	30	430	$50	$81.4K
99204	The 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…	163	630	60	$80	$45.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8	90	220	$40	$43.4K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	2	50	80	$250	$37.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	11	150	260	$40	$27.8K
H1000	Prenatal care, at-risk assessment	20	50	150	$60	$21.7K
G9357	Post-partum screenings, evaluations and education performed	7	60	90	$80	$21.5K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Walker Womens Specialists PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmc Rural Health Clinic LLC	AL	Family Medicine Physician	$0	$1.7M
Myra Stafford	AL	General Practice Dentistry	$0	$1.6M
Wesley Optometry PC	AL	Optometrist	$0	$848.6K
John Bivona	AL	Family Medicine Physician	$133.8K	$0
Jonathan Gates	AL	Physical Therapist	$114.3K	$0
Katherine Bivona	AL	Family Medicine Physician	$74.8K	$0
David Wesley	AL	Optometrist	$50.3K	$0
Emma Crumpton	AL	Physical Therapist	$32.4K	$0
Lisa Roper	AL	Speech-Language Pathologist	$15.1K	$0

Walker Womens Specialists PC — Billing Profile & Reimbursement Data

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Walker Womens Specialists PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References