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.

Cherokee Pain Management, LLC (NPI 1366806655)

Cherokee Pain Management, LLC is a pain medicine (anesthesiology) physician provider located in Centre, Alabama. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Cherokee Pain Management, LLC
Address	819a W Main St
City	Centre
State	AL
ZIP	35960
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	April 12, 2016

Payer Source	Total Paid
Medicaid	$996.4K
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

18 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…	10,700	$20	$246.1K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	2,840	$60	$182K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	1,110	$150	$164.8K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	770	$110	$87.6K
95927	In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in the trunk or head. The provider records the…	2,020	$30	$64.6K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	2,840	$20	$48.3K
96118	N/A	990	$50	$44.7K
95925	In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in the upper limbs. The provider records the resulting…	1,040	$40	$38.3K
95926	In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in the lower limbs. The provider records the resulting…	860	$30	$27.5K
99205	The provider sees a new 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 provider…	320	$90	$27.3K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Cherokee Pain Management, LLC — 10 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1,046	1,990	680	$60	$201.7K
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…	202	1,990	560	$40	$185.6K
96118	N/A	1	10	320	$220	$71.4K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	1	10	60	$160	$54.6K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	2	20	210	$60	$41.1K
99205	The provider sees a new 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 provider…	29	160	70	$200	$39K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	1	10	170	$130	$34.6K
95927	In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in the trunk or head. The provider records the…	1	10	90	$30	$22.8K
82570	The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	10	50	120	$1	$19.9K
95925	In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in the upper limbs. The provider records the resulting…	1	10	530	$40	$19.2K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rural Urgent Care LLC	AL	Urgent Care Clinic/Center	$0	$26M
Floyd Cherokee Medical Center LLC	AL	Rural Health Clinic/Center	$0	$3.3M
Fort Payne Clinic Corp.	AL	Internal Medicine Physician	$0	$2M
Floyd Cherokee Medical Center LLC	AL	Rural Health Clinic/Center	$0	$1.2M
Perry Medical Clinic, P. C.	AL	Family Medicine Physician	$0	$877.1K
Floyd Cherokee Medical Center LLC	AL	General Acute Care Hospital	$0	$855.8K
Clinton Allen	AL	Family Medicine Physician	$253.5K	$0
William Perry	AL	Family Medicine Physician	$171.4K	$0
Michelle Schofield	AL	Psychiatry Physician	$17.9K	$123.6K
Alabama Cvs Pharmacy, L.L.C.	AL	Pharmacy	$73.1K	$570

Cherokee Pain Management, LLC — Billing Profile & Reimbursement Data

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Cherokee Pain Management, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References