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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

William Boles (NPI 1124349154)

Field	Value
Entity Type	Individual
Organization	William Boles
Address	1509 Doctors Cir
City	Wilmington
State	NC
ZIP	28401
Taxonomy	Neurology Physician
NPI Enumerated	June 14, 2010

Payer Source	Total Paid
Medicare	$114.7K
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
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…	410	$90	$36.7K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	110	$280	$30.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	110	$130	$13.9K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	30	$340	$8.4K
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…	70	$120	$8.2K
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…	100	$60	$6.2K
95830	The provider inserts electrodes into the patient’s cheeks to record the brain’s electrical activity through an electroencephalogram.	10	$390	$5.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$130	$3.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$10	$690
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	40	$10	$370

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. North Carolina Distribution

William Boles — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
84443	1,071	1,090	90	$20	$18K
80053	1,050	1,400	100	$10	$16.5K
99214	2,237	18,060	110	$80	$15.1K
82607	514	600	30	$10	$8.7K
99215	999	5,720	40	$110	$7.7K
99213	5,914	16,320	70	$50	$7.1K
95816	6	100	40	$140	$6.8K
36415	1,762	3,490	90	$10	$6.4K
95830	1	10	10	$390	$5.4K
99205	1,080	2,290	20	$140	$4.9K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Community Health Services, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$9.8M
Karrie Grear	NC	Neurology Physician	$1.5M	$0
Robert Wann	NC	Ophthalmology Physician	$1M	$0
Elizabeth Thomas	NC	Rheumatology Physician	$996K	$0
Jeffrey Warhaftig	NC	Internal Medicine Physician	$694.2K	$0
Dean Karras	NC	Internal Medicine Physician	$566.6K	$0
James Adams	NC	Family Medicine Physician	$554.8K	$0
Mary Rudyk	NC	Internal Medicine Physician	$545.3K	$0
Darshan Dave	NC	Internal Medicine Physician	$492.4K	$0
Charles Allen	NC	Internal Medicine Physician	$475K	$0

William Boles — Billing Profile & Reimbursement Data

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William Boles — 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