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.

Delores Combsbarnes (NPI 1194763292)

Field	Value
Entity Type	Individual
Organization	Delores Combsbarnes
Address	4704 Chateau Forest Way
City	Hoschton
State	GA
ZIP	30548
Taxonomy	Primary Podiatric Medicine Podiatrist
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicare	$65.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	1,110	$20	$24.4K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	540	$30	$16.9K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	430	$30	$12.6K
G0127	Trimming of dystrophic nails, any number	490	$20	$7.3K
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	410	$10	$4.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Delores Combsbarnes — 1 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	72	310	240	$30	$10.6K
99307	16	170	60	$30	$5.6K
11720	3	120	90	$20	$4K
G0127	12	70	140	$10	$3.5K
11719	4	30	60	$10	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peach State Ems, LLC	GA	Land Ambulance	$586.7K	$0
Braselton Pediatrics, PC	GA	Medical Specialty Clinic/Center	$0	$444.8K
Jace Payne	GA	Physical Therapist	$93.7K	$0
Heather Futral	GA	Clinical Psychologist	$6K	$0

Delores Combsbarnes — Billing Profile & Reimbursement Data

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Delores Combsbarnes — 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