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.

Ornette Gaines (NPI 1386613503)

Field	Value
Entity Type	Individual
Organization	Ornette Gaines
Address	1233 W Poplar St
City	Rogers
State	AR
ZIP	72756
Taxonomy	Family Medicine Physician
NPI Enumerated	March 17, 2006

Payer Source	Total Paid
Medicare	$428.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	1,030	$190	$198.8K
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…	1,280	$80	$101K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	1,300	$60	$79.5K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	270	$150	$41.5K
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…	100	$60	$5.5K
99443	N/A	30	$60	$1.4K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	30	$10	$220

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Ornette Gaines — 4 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0482	2	60	170	$190	$46.7K
80307	4	90	160	$60	$21.3K
99214	97	4,300	130	$70	$18.8K
G0481	1	50	40	$150	$9.6K
99213	2,055	4,180	100	$50	$9.6K
99443	34	70	30	$70	$3.1K
80305	47	90	30	$10	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optimal Pain And Wellness	AR	Physical Medicine & Rehabilitation Physician	$0	$1.9M
Heather Hale	AR	Nurse Practitioner	$267.3K	$0
Mary Frances Daut	AR	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$171.3K	$0
Karen Reynolds	AR	Family Nurse Practitioner	$139.6K	$0
Regina Thurman	AR	Physical Medicine & Rehabilitation Physician	$19.6K	$760

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunshine School & Development Center	AR	Developmentally Disabled Services Day Training Agency	$0	$20.3M
Post 0218, Plc	AR	Physical Therapy Clinic/Center	$0	$14.9M
Regional Therapy Services, Inc.	AR	Speech-Language Pathologist	$0	$13.8M
Kids For The Future Rogers, Inc.	AR	Developmental Disabilities Clinic/Center	$0	$12.8M
St. Francis House Nwa, Inc.	AR	Federally Qualified Health Center (FQHC)	$0	$11.7M
Gates Therapy Group, Inc.	AR	Physical Therapy Clinic/Center	$0	$5.9M
Genesis Partners LLC	AR	Home Health Agency	$0	$5.7M
Adult Development Center Of Benton Co., Inc.	AR	Developmentally Disabled Services Day Training Agency	$0	$2.3M
City Of Rogers	AR	Ambulance	$355.2K	$1.2M
Life Strategies Counseling, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$1.4M

Ornette Gaines — Billing Profile & Reimbursement Data

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Ornette Gaines — 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