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.

Peggy Hines (NPI 1083283469)

Field	Value
Entity Type	Individual
Organization	Peggy Hines
Address	840 Pine St Ste 880
City	Macon
State	GA
ZIP	31201
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 21, 2021

Payer Source	Total Paid
Medicare	$13.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	50	$70	$3.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$80	$2.6K
22551	A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.	10	$180	$2.1K
22630	The provider performs an arthrodesis, also known as spinal fusion, in the lumbar spine, or lower back, to permanently join two vertebrae, the interlocking bones of the spine. He excises the lamina…	10	$160	$2K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	50	$30	$1.5K
22845	The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	10	$80	$910
63052	At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression.	10	$30	$320

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Peggy Hines — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22551	44	60	10	$980	$14.7K
22630	3	10	10	$590	$7.6K
22845	33	50	20	$430	$6.8K
22853	34	150	40	$140	$5.8K
99284	982	1,840	50	$90	$5.7K
99222	1,190	3,080	30	$100	$3.9K
63052	25	40	20	$140	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgia Neurosurgical Institute Outpatient Surgery Center	GA	Ambulatory Surgical Clinic/Center	$696.3K	$0
Marcos Cruz	PR	Neurology Physician	$142.7K	$63.2K
Hugh Smisson	GA	Neurological Surgery Physician	$190.2K	$0
Joseph Moreira	NY	Neurology Physician	$157.9K	$0
Igor De Castro	GA	Neurological Surgery Physician	$134.3K	$0
Richard Rowe	GA	Neurological Surgery Physician	$128.1K	$0
Kim Johnston	GA	Neurological Surgery Physician	$113K	$0
Shawn Masia	NY	Neurology Physician	$104.6K	$0
Joe Robinson	GA	Neurological Surgery Physician	$68.1K	$0
Sourabh Lahoti	GA	Vascular Neurology Physician	$50.1K	$0

Peggy Hines — Billing Profile & Reimbursement Data

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Peggy Hines — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References