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

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

Clinton Ashford (NPI 1053553990)

Field	Value
Entity Type	Individual
Organization	Clinton Ashford
Address	1000 Hawthorne Ave Ste T
City	Athens
State	GA
ZIP	30606
Taxonomy	Otolaryngology Physician
NPI Enumerated	March 24, 2009

Payer Source	Total Paid
Medicare	$109.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	190	$130	$24.3K
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…	190	$110	$19.6K
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…	220	$90	$18.9K
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…	250	$60	$14.2K
70486	The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.	110	$100	$10.7K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	60	$90	$5.6K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	160	$30	$4.9K
99203	The provider sees a new 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 provider…	70	$70	$4.6K
31525	The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the…	20	$180	$4.3K
70480	The provider uses computed tomography, or CT, to examine the eye’s orbit, the sella or posterior fossa of the skull, or the outer, middle, or inner ear. The provider does not administer contrast for…	10	$120	$1.4K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Clinton Ashford — 5 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,291	13,640	120	$80	$17.8K
31231	12	230	50	$130	$9.3K
99213	2,588	13,360	80	$60	$9.2K
99204	100	7,260	30	$110	$5.1K
31575	89	280	50	$90	$4.9K
70480	17	20	20	$100	$3.3K
99203	1,023	5,350	30	$70	$3.3K
31525	1	10	20	$140	$2.6K
69210	37	340	40	$30	$2.1K
70486	7	400	30	$50	$1.8K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Athens Kids Specialists, PC	GA	Pediatrics Physician	$0	$5.2M
Reddy Urgent Care LLC	GA	Urgent Care Clinic/Center	$0	$2.6M
Jeremy Wells	GA	Hematology & Oncology Physician	$1.5M	$0
Subodh Agrawal	GA	Cardiovascular Disease Physician	$1.1M	$0
Athens Spine Procedural Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Athens Orthopedic Clinic Ambulatory Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Trinity Ems Transport LLC	GA	Land Ambulance	$1.1M	$0
Gordon Schoenfeld	GA	Radiation Oncology Physician	$834K	$0
Cole Steber	GA	Radiation Oncology Physician	$776.6K	$0
Ronald Terry	GA	Radiation Oncology Physician	$600.6K	$0

Clinton Ashford — Billing Profile & Reimbursement Data

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Clinton Ashford — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References