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

Why is the Medicaid comparison limited to 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. 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.

Frederick Barton (NPI 1255970869)

Field	Value
Entity Type	Individual
Organization	Frederick Barton
Address	1525 Blanton Ave Se
City	Roanoke
State	VA
ZIP	24014
Taxonomy	Nurse Practitioner
NPI Enumerated	December 30, 2019

Payer Source	Total Paid
Medicare	$15.9K
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
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	110	$80	$8.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	60	$110	$6.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$50	$1.1K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	10	$30	$330
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10	$10	$60

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. Virginia Distribution

Frederick Barton — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	1,154	1,590	120	$130	$19.9K
99284	397	1,650	70	$90	$6.9K
93010	1,229	1,270	140	$10	$2.1K
99283	288	770	20	$50	$1.3K
12001	9	10	10	$40	$620

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salem Health	OR	General Acute Care Hospital	$0	$65.7M
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$36.9M
South Sound Inpatient Physicians PLLC	WA	Internal Medicine Physician	$0	$17.6M
Salem Health West Valley	OR	Critical Access Hospital	$0	$16.2M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$11.4M
Providence Health & Services - Oregon	OR	Child & Adolescent Psychiatry Physician	$0	$8.7M
Glacial Ridge Hospital District	MN	Family Medicine Physician	$0	$6.2M
Sound Physicians Emergency Medicine Of Washington PLLC	WA	Emergency Medicine Physician	$0	$2.7M
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Providence Health & Services - Oregon	OR	Hospitalist Physician	$0	$1.3M

Frederick Barton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References