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.

Alain Toland (NPI 1386690972)

Field	Value
Entity Type	Individual
Organization	Alain Toland
Address	1719 Russell Pkwy
City	Warner Robins
State	GA
ZIP	31088
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicare	$82.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	460	$90	$39.4K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	380	$30	$11.9K
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…	200	$60	$10.9K
99204	The provider sees a new 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 provider…	70	$110	$8.2K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	280	$20	$6.5K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	280	$10	$2.8K
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…	20	$70	$1.7K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	40	$20	$540

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Alain Toland — 3 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,776	13,640	120	$80	$17.8K
99213	3,282	13,360	80	$60	$9.2K
99204	1,296	7,260	30	$110	$5.1K
99203	3,282	5,350	30	$70	$3.3K
92557	15	300	80	$20	$2.8K
69210	5	340	40	$30	$2.1K
92587	5	10	40	$20	$1.7K
92567	14	310	80	$10	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Regeneration Project LLC	GA	Community/Behavioral Health Agency	$0	$4.2M
William Freeman	GA	Specialist	$2.2M	$0
Warner Robins Partners	GA	Ophthalmologic Surgery Clinic/Center	$1.4M	$0
Women's Healthcare Of Middle Ga, Inc	GA	Obstetrics & Gynecology Physician	$0	$1.4M
Lakeview Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$987.4K	$0
Darryl Hodson	GA	Dermatology Physician	$914.2K	$0
Comprehensive Care Medical Offices, LLC	GA	Infectious Disease Physician	$0	$511.4K
Johnny Gayton	GA	Ophthalmology Physician	$438.5K	$0
Dinakara Shetty	GA	Internal Medicine Physician	$433.7K	$0
Darla Jackson	GA	Professional Counselor	$0	$405.1K

Alain Toland — Billing Profile & Reimbursement Data

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Alain Toland — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References