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.

Stacy Forbes (NPI 1295187839)

Field	Value
Entity Type	Individual
Organization	Stacy Forbes
Address	3636 High St
City	Portsmouth
State	VA
ZIP	23707
Taxonomy	Physician Assistant
NPI Enumerated	July 7, 2016

Payer Source	Total Paid
Medicare	$57.1K
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
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.	250	$130	$33.8K
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.	160	$90	$14.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	$170	$5.8K
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.	60	$50	$3K
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	$370

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

Stacy Forbes — 1 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	304	1,590	120	$130	$19.9K
99291	1,210	1,950	50	$170	$12.2K
99284	121	1,650	70	$90	$6.9K
99283	35	770	20	$50	$1.3K
12001	9	10	10	$40	$620

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Middletown Medical PC	NY	Emergency Medicine Physician	$0	$49.3M
Emergency Department Physicians, P.C.	MI	Emergency Medicine Physician	$0	$41.2M
Emergency Physician Services Of New York, P.C.	NY	Emergency Medicine Physician	$0	$33.9M
Emergency Physician Associates Of South Jersey P C	NJ	Emergency Medicine Physician	$0	$30.6M
Buffalo Emergency Associates LLP	NY	Emergency Medicine Physician	$0	$24M
Emergency Physician Associates Of North Jersey P C	NJ	Emergency Medicine Physician	$0	$16.5M
Emergency Physician Services Of New Jersey,professional Association	NJ	Emergency Medicine Physician	$0	$8M
David Goldstein	RI	Emergency Medicine Physician	$42.3K	$1.9M
Andre Bonnet	NJ	Emergency Medicine Physician	$448.2K	$9.9K
Joseph Deluca	NJ	Specialist	$454.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fishing Point Health Care LLC	VA	General Practice Physician	$0	$169.8M
Maryview Hospital LLC	VA	General Acute Care Hospital	$0	$74.9M
Safe Harbor Behavioral Healthcare, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$13.8M
Premier Home Health Care LLC	VA	Home Health Agency	$0	$9.4M
Connecting Communities, LLC	VA	Community/Behavioral Health Agency	$0	$9.2M
Anointed And Blessed Home Health Care, LLC	VA	Home Health Agency	$0	$7.4M
Patient Centered Care	VA	Home Health Agency	$0	$6.3M
Gloria's Angels Home Health Care	VA	Home Health Agency	$0	$6.1M
Tidewater Medical Transport, Inc	VA	Ambulance	$394.5K	$171.2K
Karen Olmo	VA	Physician Assistant	$251.2K	$0

Stacy Forbes — Billing Profile & Reimbursement Data

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Stacy Forbes — 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

Nearby Providers

Frequently Asked Questions

References