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

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

Kevin Darby (NPI 1083352264)

Field	Value
Entity Type	Individual
Organization	Kevin Darby
Address	1447 N Harrison St
City	Saginaw
State	MI
ZIP	48602
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	May 26, 2022

Payer Source	Total Paid
Medicare	$2.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	30	$50	$1.8K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	30	$30	$900

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Kevin Darby — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36556	7	150	20	$70	$1.1K
36620	52	370	20	$40	$770

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saginaw County Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$172.1M
Covenant Medical Center, Inc.	MI	General Acute Care Hospital	$0	$96.6M
Covenant Medical Center, Inc	MI	Family Medicine Physician	$0	$19.3M
Covenant Medical Center, Inc.	MI	Emergency Medicine Physician	$0	$14.7M
Aps Employment Services, Inc.	MI	Home Health Agency	$0	$13.2M
Valley Ob Gyn Clinic PC	MI	Specialist	$0	$10.1M
Great Lakes Bay Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$8M
Covenant Medical Center, Inc.	MI	Family Medicine Physician	$0	$6M
Saginaw Cooperative Hospitals, Inc	MI	Obstetrics & Gynecology Physician	$0	$5.8M
Parthiv Amin	MI	Cardiovascular Disease Physician	$267.7K	$0

Kevin Darby — Billing Profile & Reimbursement Data

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Kevin Darby — 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