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

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

Holly Gaines (NPI 1376979799)

Field	Value
Entity Type	Individual
Organization	Holly Gaines
Address	5 Medical Ln
City	Conway
State	AR
ZIP	72034
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	September 17, 2013

Payer Source	Total Paid
Medicare	$47.3K
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
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…	550	$40	$20.8K
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	$16.3K
99203	The provider sees a new 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 provider…	210	$50	$9.5K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	20	$30	$530
95976	The provider, a physician or other qualified healthcare professional, analyzes the function of a cranial nerve neurostimulator system and makes simple or minor programming adjustments.	20	$20	$340

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. Arkansas Distribution

Holly Gaines — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,309	4,300	130	$70	$18.8K
99213	326	4,180	100	$50	$9.6K
99457	76	80	120	$30	$6.5K
99203	61	1,590	30	$60	$3.6K
95976	2	10	20	$20	$410

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashleigh Huntsman	AR	Family Nurse Practitioner	$105.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kid Success, Inc.	AR	Rehabilitation Clinic/Center	$0	$140.9M
Milestones Services, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$11.6M
Conway Regional Medical Center Inc	AR	General Acute Care Hospital	$0	$10.6M
Independent Living Services, Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Counseling Associates, Inc	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.6M
Pediatrics Plus Therapy Services, LLC	AR	Developmental Disabilities Clinic/Center	$0	$7.1M
Central Arkansas Pediatrics, P.A.	AR	Pediatrics Physician	$0	$6.7M
Aaron K. Forrester Dds, PLLC	AR	Pediatric Dentistry	$0	$5.7M
Conway Childrens Clinic PA Corp	AR	Pediatrics Physician	$0	$4.8M
Arkansas Pediatrics Of Conway, PA	AR	Pediatrics Physician	$0	$3.9M

Holly Gaines — Billing Profile & Reimbursement Data

Sign up for Holly Gaines — Billing Profile & Reimbursement Data policy alerts

Holly Gaines — Billing Profile & Reimbursement Data

Sign up for Holly Gaines — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References