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.

Gladstone Sellers (NPI 1063521102)

Field	Value
Entity Type	Individual
Organization	Gladstone Sellers
Address	755 Mount Vernon Hwy Ne
City	Atlanta
State	GA
ZIP	30328
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$54.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	240	$90	$21K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	$120	$12.8K
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…	190	$60	$11.5K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	30	$70	$2.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	260	$10	$2.1K
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	110	$20	$1.9K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	80	$20	$1.7K
G0008	Administration of influenza virus vaccine	30	$30	$990

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Gladstone Sellers — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,955	13,640	120	$80	$17.8K
G0439	958	2,900	70	$120	$12.4K
99213	3,395	13,360	80	$60	$9.2K
90662	1,432	2,450	40	$70	$3.8K
36415	818	3,010	100	$10	$3.2K
G0008	2,439	3,790	50	$30	$2K
G0328	27	150	30	$20	$1.1K
92552	10	60	30	$20	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Finan Dermatopathology Laboratory, P.C.	GA	Clinical Medical Laboratory	$1.8M	$0
Thomas Eye Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.8M	$0
Paul Kaufman	GA	Ophthalmology Physician	$1.7M	$0
Jessica Mccluskey	GA	Ophthalmology Physician	$1.3M	$0
Woolfson Ambulatory Surgery Center, LLC	GA	Ophthalmologic Surgery Clinic/Center	$861.9K	$0
Merinda Herron	GA	Pediatrics Physician	$0	$770.9K
Mid Physician Network (oh), LLC	GA	General Practice Physician	$0	$756.5K
Kirk Paulk	GA	Internal Medicine Physician	$711.8K	$0
Nandini Setia	GA	Rheumatology Physician	$629.3K	$0
Mark Berman	GA	Ophthalmology Physician	$395.1K	$0

Gladstone Sellers — Billing Profile & Reimbursement Data

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Gladstone Sellers — 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