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.

Barbara Fowkes (NPI 1184041196)

Field	Value
Entity Type	Individual
Organization	Barbara Fowkes
Address	28303 Joy Rd
City	Westland
State	MI
ZIP	48185
Taxonomy	Community Health Worker
NPI Enumerated	March 27, 2014

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	29,010	$190	$5.4M
H0043	Supported housing, per diem	21,980	$190	$4.2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Barbara Fowkes — 0 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. Michigan median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	224	610	14,740	$90	$6M
H0043	Supported housing, per diem	37	130	10,330	$210	$4.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Community Services	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$166.6M
Hegira Health, Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$109.5M
Hegira Health, Inc.	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17M
City Of Westland And 18th District Court	MI	Land Ambulance	$450.8K	$3M
Andrew Colman	MI	General Practice Physician	$166.5K	$0
Jenna Mckeever	MI	Family Nurse Practitioner	$121.3K	$0
Leigh Rubin	MI	Podiatrist	$99.4K	$0
Jennifer Gerteisen	MI	Foot & Ankle Surgery Podiatrist	$71K	$0
Rebecca Szymaszek	MI	Adult Health Nurse Practitioner	$56.1K	$0

Barbara Fowkes — Billing Profile & Reimbursement Data

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Barbara Fowkes — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References