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.

Mary Barnes (NPI 1053854521)

Field	Value
Entity Type	Individual
Organization	Mary Barnes
Address	14 Saint Andrews Ct
City	Brunswick
State	GA
ZIP	31520
Taxonomy	Professional Counselor
NPI Enumerated	November 30, 2016

Payer Source	Total Paid
Medicaid	$388.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,790	$80	$383.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$100	$2.9K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,290	$1	$2.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Mary Barnes — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	62	880	410	$90	$148.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	148	240	50	$80	$20.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	14	90	210	$1	$2.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genie Fleet	GA	Professional Counselor	$0	$537.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paradigm Labs, LLC	GA	Clinical Medical Laboratory	$3.1M	$19.6M
Gateway Community Service Board	GA	Community/Behavioral Health Agency	$0	$22.4M
Emergency Physicians Inc	GA	Emergency Medicine Physician	$0	$7.6M
Arc Of Georgia, LLC	GA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Emmanuel Gage	GA	Interventional Pain Medicine Physician	$1.1M	$0
Seaside Surgical, LLC	GA	Ophthalmologic Surgery Clinic/Center	$1M	$0
Diana L. Walther, Ph.d. PC	GA	Psychologist	$0	$841.2K
Edward Dipreta	GA	Dermatology Physician	$584.1K	$0
Ahmed Elsharkawi	GA	Nephrology Physician	$497K	$0
Mark Watkins	GA	Specialist	$485.6K	$0

Mary Barnes — Billing Profile & Reimbursement Data

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Mary Barnes — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References