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.

Tara Adams (NPI 1184994956)

Field	Value
Entity Type	Individual
Organization	Tara Adams
Address	3708 Northside Dr
City	Macon
State	GA
ZIP	31210
Taxonomy	Nurse Practitioner
NPI Enumerated	January 10, 2012

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

TARA ADAMS is an established Nurse Practitioner (NPI enumerated 2012-01-10 (~14 years ago)) with $2.9M in lifetime Medicare revenue and no Medicaid billing on file, indicating an effectively single-payer Medicare-focused practice. The absence of any Medicaid claims suggests limited or no participation in state Medicaid programs rather than a mixed-payer ambulatory model.

The provider’s Medicare revenue is overwhelmingly driven by high-volume biologic injections: J0897 (denosumab) and J3111 (romosozumab) together represent $1.4M and $1.3M in revenue respectively, and the precomputed top-3 Medicare codes account for 98.3% of this provider's total Medicare revenue. This concentration indicates the practice is primarily an administration/infusion site for osteoporosis biologic therapies rather than a general primary-care revenue mix.

Operationally, the code mix (J0897, J3111, plus multiple injection codes such as 96372) and the presence of E/M codes (99213, 99214) point to a clinic workflow focused on in-office or office-based injections with supporting evaluation visits. J0897 shows 79.3K claims at $18 avg paid/claim and J3111 shows 167.4K claims at $8 avg paid/claim, while 99213 and 99214 together contribute only a small share of revenue, indicating hands-on administration and high throughput of injectable therapies.

Revenue concentration is acute: J0897 accounts for 49.8% and J3111 for 46.7% of the provider’s Medicare revenue, with 99213 adding 1.9%; together the top three codes make up 98.3% of Medicare receipts. This narrow revenue base suggests that changes in reimbursement, utilization, or formularies for these specific biologics would materially affect the provider’s income.

Competitive standing on individual codes is exceptional: J0897 ranks #6 of 10057 providers nationally and J3111 ranks #5 of 970 providers nationally (both listed as 100th percentile; extreme outlier), and 96372 ranks #53 of 58224 (100th percentile; extreme outlier). These rankings characterize the provider as a national-level outlier and high-volume administrator for these specific injectable therapies rather than a typical local-volume practitioner.

Clinical-service implications follow from the code descriptors: J0897 (denosumab) and J3111 (romosozumab) are specialty biologic injections typically used for osteoporosis management, so the practice’s revenue profile is consistent with a specialty infusion/administration service focused on bone-health biologics. The presence of 96372 (injection) as an extreme outlier further supports a workflow centered on drug administration rather than routine primary-care procedures.

Utilization of office E/M codes appears ancillary: 99213 generated $53.6K (1.9% of Medicare revenue) and 99214 generated $24.9K (0.9% of Medicare revenue) and rank at levels described as an outlier or typical respectively, suggesting evaluation visits support the injection service but are not the primary revenue driver. This split implies clinical encounters are likely structured around injection visits with brief or problem-focused E/M components.

From a payer-strategy perspective, the provider should be considered highly Medicare-concentrated with no Medicaid billing on file; any payer negotiations, referral relationships, or competitive analyses should center on Medicare-covered biologic administration volumes and national-level capacity for J0897 and J3111. Given the extreme outlier standing on those codes, the provider occupies an outsized niche in the market for administering these osteoporosis biologics.

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	79,350	$20	$1.4M
J3111	Injection, romosozumab-aqqg, 1 mg	167,380	$10	$1.3M
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…	1,120	$50	$53.6K
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…	340	$70	$24.9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	2,170	$10	$17.4K
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…	80	$90	$6.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Tara Adams — 4 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3111	1	20	12,810	$10	$172.9K
J0897	1	290	2,460	$20	$90.2K
99214	2,799	13,640	120	$80	$17.8K
99213	140	13,360	80	$60	$9.2K
99204	1,108	7,260	30	$110	$5.1K
96372	2	2,930	50	$10	$850

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Wiley	GA	Orthopaedic Surgery Physician	$361.6K	$0
Swapan Chaudhuri	GA	Internal Medicine Physician	$229.6K	$0
David Wiley	GA	Orthopaedic Surgery Physician	$228.9K	$0
Robert Thornsberry	GA	Sports Medicine (Orthopaedic Surgery) Physician	$222.4K	$0
William Dasher	GA	Orthopaedic Surgery Physician	$209.8K	$0
Todd Kinnebrew	GA	Orthopaedic Surgery Physician	$196.4K	$0
Mayur Patel	GA	Orthopedic Physical Therapist	$186.8K	$0
David Bruce	GA	Physician Assistant	$184.3K	$0
Jeffrey Easom	GA	Sports Medicine (Orthopaedic Surgery) Physician	$179.7K	$0
Richard Thomas	GA	Orthopaedic Surgery Physician	$158.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Pediatrics, PC	GA	Specialist	$0	$32.9M
Cogent Healthcare Of Georgia PC	GA	Internal Medicine Physician	$0	$4.6M
Bradley Sumrall	GA	Medical Oncology Physician	$3.1M	$0
Harry Moore	GA	Medical Oncology Physician	$2.9M	$0
Macon Outpatient Surgery, LLC	GA	Ambulatory Surgical Clinic/Center	$2.2M	$0
Georgia Em-i Medical Services PC	GA	Physician Assistant	$0	$1.9M
Steven Allee	GA	Ophthalmology Physician	$1.7M	$0
Norman Nelson	GA	Ophthalmology Physician	$1.5M	$0
Central Georgia Cancer Care	GA	Specialist	$0	$1.2M
Arpan Bachhawat	GA	Retina Specialist (Ophthalmology) Physician	$1.2M	$0

Tara Adams — Billing Profile & Reimbursement Data

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Tara Adams — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References