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.

Villanueva Spivey (NPI 1306349899)

Field	Value
Entity Type	Individual
Organization	Villanueva Spivey
Address	2255 Anthony Rd
City	Macon
State	GA
ZIP	31204
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 12, 2018

Payer Source	Total Paid
Medicare	$68.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,010	$50	$45.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	140	$120	$17.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	80	$70	$5.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Villanueva Spivey — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	426	560	270	$70	$38.4K
99308	38	500	150	$50	$17.4K
90792	13	190	30	$120	$5.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Hutchinson	GA	Mental Health Counselor	$0	$1.4M
Jared Jerome	NY	Clinical Psychologist	$290.1K	$247.3K
Elizabeth Mchugh	NY	Clinical Psychologist	$170K	$167.8K
Anthony Mullin	NY	Clinical Psychologist	$151.1K	$146.7K
Candace Reed	GA	Professional Counselor	$0	$238.7K
Daria Diakonova-curtis	OH	Clinical Psychologist	$69.7K	$144.6K
Ross Vanderklok	NY	Psychologist	$117.4K	$65.4K
Jill Backfield-weiss	NY	Clinical Psychologist	$155.4K	$25.3K
Kanwal Lalani	GA	Physician Assistant	$170.3K	$0
Christopher Dennis Md PLLC	GA	Psychiatry Physician	$0	$150.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Bell Vaughn	GA	Internal Medicine Physician	$1.4M	$0
The Medical Center Of Central Georgia Inc	GA	Land Ambulance	$1.3M	$0
Ace Medical Transport LLC.	GA	Land Ambulance	$854.8K	$0
Mikaela Heard	GA	Mental Health Counselor	$0	$442.1K
Agape Medical Transport Inc	GA	Land Ambulance	$422.9K	$0
New Horizon Primary Care, LLC	GA	Internal Medicine Physician	$0	$407.1K
Maria Bartlett	GA	Specialist	$202.3K	$0
Juan Esnard	GA	Specialist	$151.6K	$0
Steven Lako	GA	Podiatrist	$125.4K	$0
Ge Ye	GA	Foot & Ankle Surgery Podiatrist	$120.7K	$0

Villanueva Spivey — Billing Profile & Reimbursement Data

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Villanueva Spivey — 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