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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Barry Vaught (NPI 1194770339)

Field	Value
Entity Type	Individual
Organization	Barry Vaught
Address	1404 Robert C Byrd Dr Ste 100
City	Crab Orchard
State	WV
ZIP	25827
Taxonomy	Neurology Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicare	$459.4K
Medicaid	$0

Key Findings

This provider is effectively single-payer: lifetime Medicare revenue is $459.4K and there is no Medicaid billing on file. The absence of any Medicaid claims suggests the provider either does not serve Medicaid patients or does not bill Medicaid, so payer mix is dominated by Medicare-derived revenue.

Revenue is highly concentrated in a small number of codes: the precomputed top-3 Medicare codes account for 51.9% of this provider's total Medicare revenue. Those top three are 99214 ($102.8K, 22.2%), J0585 ($98K, 21.2%), and 99213 ($39.3K, 8.5%), indicating a reliance on office E/M visits and onabotulinumtoxinA injections for the majority of revenue.

Service-line mix points to an office-based neurology practice that blends evaluation-and-management visits with procedural therapy and diagnostics. High-volume E/M codes (99214 and 99213) combined with large J0585 utilization indicate substantial botulinum toxin treatment activity, while multiple neurophysiology and EEG codes in the top list (95886 $36.5K, 95819 $28.7K, 95912 $25.6K) show an embedded diagnostic testing capability.

On competitive standing for core visit codes, the provider is an outlier nationally: 99214 ranks #5867 of 479517 providers nationally (99th percentile; extreme outlier) and 99204 ranks #3018 of 227068 providers nationally (99th percentile; extreme outlier). These rankings signal unusually high national volume for several office-visit codes relative to peers, consistent with a practice that generates large visit volumes per billing provider.

For neurodiagnostic and electrodiagnostic procedures the provider also shows strong national standing: 95886 ranks #150 of 6525 (98th percentile; notably above typical) and 95912 ranks #38 of 1477 (97th percentile; notably above typical). EEG volume is elevated but more typical in scale (95819 ranks #348 of 2575, 86th percentile; typical, unremarkable volume), indicating the practice is a meaningful regional/national contributor to EMG/nerve conduction work.

Not all high-revenue codes are equally exceptional: J0585 (19.6K claims, $98K revenue) ranks #513 of 3636 (86th percentile; typical, unremarkable volume), so while botulinum toxin revenue is large in dollars for this provider, its national rank is high but not an extreme outlier. Other codes such as 99213 rank #14174 of 457151 (97th percentile; notably above typical) which reinforces that the practice’s visit volumes outperform most peers but with variable intensity across services.

The provider has long NPI tenure, enumerated 2006-05-24 (~20 years ago), which supports interpretation of these patterns as established practice behavior rather than a short-term anomaly. Combined with the $459.4K lifetime Medicare revenue and the concentrated code mix, the tenure suggests a stable, specialized outpatient neurology operation sustained over many years.

Operational and commercial implications: dependence on the top three codes for 51.9% of Medicare revenue creates revenue concentration risk if utilization or reimbursement for office visits or J0585 changes, but the presence of significant diagnostic service lines (EMG/nerve conduction and EEG) provides some diversification within neurology service offerings. The lack of Medicaid activity also implies limited exposure to that payer’s rates and managed-care arrangements, which may constrain participation or patient access in mixed-payer networks.

Medicare: Complete Services Breakdown

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

26 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…	1,290	$80	$102.8K
J0585	Injection, onabotulinumtoxina, 1 unit	19,600	$10	$98K
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…	700	$60	$39.3K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	580	$60	$36.5K
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…	100	$290	$28.7K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	160	$160	$25.6K
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…	230	$110	$24.6K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	140	$120	$15.7K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	170	$90	$15.5K
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…	120	$120	$13.6K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Barry Vaught — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	1	10	10,460	$1	$50.9K
96413	8	10	170	$90	$19.5K
95819	2	10	90	$230	$19.3K
95816	4	10	20	$140	$15K
99214	5	2,740	100	$70	$11.8K
95886	1	30	80	$60	$7.8K
99213	71	2,860	80	$50	$7.5K
95912	1	10	30	$150	$6.9K
99215	65	470	30	$110	$6.8K
64615	4	10	80	$80	$6.8K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raleigh General Hospital LLC	WV	General Acute Care Hospital	$0	$36.4M
Raleigh General Hospital LLC	WV	Internal Medicine Physician	$0	$2.1M
Navid Moradshahi	CA	Diagnostic Radiology Physician	$1.2M	$0
Raleigh General Hospital LLC	WV	Gastroenterology Physician	$0	$915.1K
Walter Osias	CA	Diagnostic Radiology Physician	$759.8K	$0
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
Hugh Mcswain	CA	Neuroradiology Physician	$235.3K	$292.6K
Hei Shun Yu	AZ	Diagnostic Radiology Physician	$322.1K	$0
Thair Barghouthi	WV	Cardiovascular Disease Physician	$268.6K	$0
Philip Branson	WV	Orthopaedic Surgery Physician	$262.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pnb	WV	Case Management Agency	$0	$1.5M

Barry Vaught — 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