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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Wayne Stanley (NPI 1225193428)

Field	Value
Entity Type	Individual
Organization	Wayne Stanley
Address	1509 Chisholm Road
City	Florence
State	AL
ZIP	35630
Taxonomy	Family Medicine Physician
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicare	$32.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 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…	300	$60	$18.9K
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…	40	$110	$4.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$110	$3.6K
36410	In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.	140	$10	$1.4K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	110	$10	$1.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$10	$740
99442	N/A	10	$50	$660
G0444	Annual depression screening, 5 to 15 minutes	40	$20	$580
99441	N/A	20	$30	$460
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	110	$1	$340

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Wayne Stanley — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,722	7,330	120	$80	$16.8K
G0439	1,134	1,520	70	$120	$11K
99215	752	1,710	40	$110	$8.1K
36415	786	1,550	100	$10	$4.8K
83036	365	1,080	70	$10	$3.2K
99442	187	220	30	$50	$2.2K
93000	900	1,060	40	$10	$1.5K
G0444	440	700	50	$20	$1.3K
99441	56	90	20	$30	$870
36410	1	20	20	$10	$320

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Infants And Childrens Clinic PC	AL	Pediatrics Physician	$0	$8.7M
Shoals Pediatric Group PC	AL	Pediatrics Physician	$0	$4.4M
Pinnacle Medical Solutions LLC	AL	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Stepping Stone Pediatric Therapy, Inc.	AL	Occupational Therapist	$0	$4.1M
Lifeguard Ambulance Service LLC	AL	Land Ambulance	$1.9M	$1.6M
Rchp - Florence LLC	AL	General Acute Care Hospital	$0	$3.4M
Alahealth, Inc.	AL	Case Management Agency	$0	$3.2M
Shoals Pediatric Dentistry, P.C.	AL	Pediatric Dentistry	$0	$3.1M
Heather Brody	AL	Hematology & Oncology Physician	$3.1M	$0
Shoals Hospice LLC	AL	Community Based Hospice Care Agency	$0	$3M

Wayne Stanley — Billing Profile & Reimbursement Data

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Wayne Stanley — 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