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.

Marshall Herron (NPI 1225003064)

Field	Value
Entity Type	Individual
Organization	Marshall Herron
Address	230 Cedar Pointe Dr
City	Athens
State	GA
ZIP	30605
Taxonomy	Podiatrist
NPI Enumerated	February 22, 2006

Payer Source	Total Paid
Medicare	$132.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	690	$60	$40.4K
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	390	$70	$27.9K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	270	$70	$19.7K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	630	$30	$17.5K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	50	$170	$8.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	100	$80	$8.2K
11732	The provider removes part or all of an additional nail plate after the first using simple avulsion techniques.	330	$20	$7.3K
99203	The provider sees a new 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 provider…	50	$70	$3.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Marshall Herron — 3 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11043	13	30	40	$140	$17.9K
17110	79	520	90	$70	$10.7K
11721	53	310	240	$30	$10.6K
99213	433	13,360	80	$60	$9.2K
11042	90	240	70	$70	$8.3K
99203	1,550	5,350	30	$70	$3.3K
11730	1	70	20	$70	$3.1K
11732	1	10	80	$20	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oconee Area Home Care Services, Inc.	GA	Home Health Agency	$0	$14.9M
Heavenly Sunshine Health	GA	Nurse's Aide	$0	$3.3M
Jing Dong	GA	Ophthalmology Physician	$580.5K	$0
American Eye Surgery Center, Inc.	GA	Ambulatory Surgical Clinic/Center	$494.2K	$0
Whispering Pines Assisted Living Facility, LLC	GA	Assisted Living Facility	$0	$315K
Henry Morris	GA	Family Medicine Physician	$229.4K	$0
Kenneth Warren	GA	Physical Therapist	$205.6K	$0
Rachel Nation	GA	Physical Therapist	$134.9K	$0
Anthony Gordon	GA	Foot Surgery Podiatrist	$67.7K	$0
Chandler Davis	GA	Registered Dietitian	$3.6K	$0

Marshall Herron — Billing Profile & Reimbursement Data

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Marshall Herron — 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