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.

Eastern Shore Developmental Clinic (NPI 1023455953)

Field	Value
Entity Type	Organization
Organization	Eastern Shore Developmental Clinic
Address	26420 Kensington Pl Ste A
City	Daphne
State	AL
ZIP	36526
Taxonomy	Nurse Practitioner
NPI Enumerated	June 2, 2013

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The 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…	23,250	$100	$2.3M
G2212	Prolonged 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…	7,330	$80	$600.6K
99354	N/A	5,560	$70	$361.2K
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	1,970	$140	$272.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	9,570	$20	$162.6K
99205	The provider sees a new 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 provider…	810	$130	$106K
99355	N/A	1,870	$60	$104.5K
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…	770	$70	$55.3K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	60	$110	$6.6K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	40	$60	$2.5K

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

Eastern Shore Developmental Clinic — 4 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	955	1,990	680	$60	$201.7K
99215	The 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…	2	330	140	$240	$197.4K
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	5	30	120	$190	$175.5K
G2212	Prolonged 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…	1	10	60	$80	$118.6K
99355	N/A	1	10	1,100	$50	$59.7K
99354	N/A	1	10	180	$60	$55.2K
99205	The provider sees a new 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 provider…	9	160	70	$200	$39K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	11	150	1,040	$10	$23.5K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	7	10	90	$90	$14.8K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	4	10	40	$60	$10K

Nearby Providers

Other providers in the same ZIP code as Eastern Shore Developmental Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daphne Pediatric Dentistry Inc	AL	Pediatric Dentistry	$0	$2M
William Mcevoy	AL	Hematology & Oncology Physician	$1.7M	$0
Joseph Jones	AL	Hematology & Oncology Physician	$1.6M	$0
Kids Kount Therapy Services, LLC	AL	Early Intervention Provider Agency	$0	$1.5M
Autism Behavior And Cognitive Development LLC	AL	Community/Behavioral Health Agency	$0	$1.2M
American Autism & Rehabilitation Center Inc	AL	Occupational Therapist	$0	$862.3K
Rachael Harmon	AL	Radiation Oncology Physician	$729.3K	$0
Brittany Case	AL	Medical Oncology Physician	$727.3K	$0
David Thomason	AL	Physical Medicine & Rehabilitation Physician	$536.1K	$0
Jonathan Rainer	AL	Physical Medicine & Rehabilitation Physician	$418.9K	$0

Eastern Shore Developmental Clinic — Billing Profile & Reimbursement Data

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Eastern Shore Developmental Clinic — 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