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

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

William Barrish (NPI 1396796413)

Field	Value
Entity Type	Individual
Organization	William Barrish
Address	17637 Shady Rd Unit 102
City	Lewes
State	DE
ZIP	19958
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	May 13, 2006

Payer Source	Total Paid
Medicare	$964.3K
Medicaid	$0

Key Findings

WILLIAM BARRISH is a long-tenured Physical Medicine & Rehabilitation physician with an NPI enumerated on 2006-05-13 (~20 years ago) and $964.3K in lifetime Medicare revenue on file; there is no Medicaid billing on file, so this profile is effectively single-payer (Medicare) for the available claims data. The absence of Medicaid activity means there is no in-state Medicaid utilization to compare or analyze for payer mix, referral patterns, or state-level competitiveness.

Revenue is highly concentrated in a small set of procedure codes: the precomputed top-3 Medicare codes account for 83.6% of this provider's total Medicare revenue. The dominant code is J0585 at $717.7K (73.7% of the provider's Medicare revenue), followed by 95886 at $47.7K (4.9%) and 95912 at $47.7K (4.9%), indicating a narrow set of procedures drives the bulk of billed Medicare dollars.

The code mix and descriptions indicate a procedure-focused practice centered on therapeutic neuromuscular injections and electrodiagnostic testing. J0585 (onabotulinumtoxinA injection) dominates revenue, while 95886, 95912 and related nerve conduction CPTs show a substantial electrodiagnostics component; additional procedure codes such as 64616 ($41K) and 64642 ($37.7K) further support a clinical emphasis on targeted neuromuscular injections and spasm/dystonia treatments.

For J0585 the provider is a national outlier: the J0585 volume ranks #6 of 3636 providers nationally (100th percentile; extreme outlier), which positions this clinician as an unusually large national volume contributor for that drug administration code. Complementary procedural codes also show strong national placement — 95912 ranks #15 of 1477 (99th percentile; extreme outlier) and 95886 ranks #135 of 6525 (98th percentile; notably above typical national volume) — together these ranks indicate a dominant presence in both therapeutic injections and electrodiagnostic testing relative to peers.

Several additional procedure codes reinforce the specialist, high-volume pattern rather than generalist office practice. Procedure codes for targeted chemodenervation such as 64616 ($41K, rank #8 of 775, 99th percentile; extreme outlier) and 64642 ($37.7K, rank #4 of 473, 99th percentile; extreme outlier) are meaningfully represented, while office E/M codes like 99213 ($31.8K, 3.3% of Medicare revenue, rank #27380 of 457151, 94th percentile) and 99212 ($15K, 1.5%, rank #2286 of 99011, 98th percentile) contribute smaller shares, consistent with a procedural specialty practice where injections and diagnostic studies drive revenue.

Because Medicaid billing is absent, competitive standing and payer-negotiation leverage should be assessed primarily on Medicare performance: the provider’s extreme outlier ranks on multiple high-revenue procedure codes imply significant market differentiation for those services at the national level. However, the lack of Medicaid data means no conclusions can be drawn about the provider’s footprint or competitiveness within Delaware’s Medicaid network.

The overall pattern—very high concentration in J0585 plus above-typical or extreme national ranks across multiple injection and electrodiagnostic codes—suggests a focused business model delivering high volumes of botulinum toxin therapy and nerve conduction testing. For payers and network planners, this profile signals a specialized clinical service line that could be important for contracting around neuromuscular spasticity, dystonia, and diagnostic electrodiagnostics, but one that has limited breadth across non-procedural primary care or Medicaid-covered services.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	143,540	$10	$717.7K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	610	$80	$47.7K
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…	250	$190	$47.7K
64616	The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…	310	$130	$41K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	350	$110	$37.7K
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…	500	$60	$31.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	340	$40	$15K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	170	$50	$9K
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…	100	$80	$8.5K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	50	$140	$7K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

William Barrish — 6 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	1	20	5,800	$1	$76.2K
64616	1	10	190	$130	$25.5K
95886	3	20	110	$70	$17.5K
99213	214	1,810	120	$60	$13.6K
95912	1	10	30	$190	$13.4K
64642	1	10	50	$100	$12K
95913	3	10	20	$210	$10.7K
95910	8	10	60	$130	$8.2K
99203	152	670	40	$70	$5.3K
64615	5	10	30	$100	$3.7K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marissa Wedel	PA	Ophthalmology Physician	$1.4M	$26.3K
Alexander Sweidan	CA	Pulmonary Disease Physician	$485.7K	$112K
Joseph Farrell	DE	Orthopaedic Surgery Physician	$576.7K	$0
Premier Orthopaedic Bone & Joint Care	DE	Orthopaedic Surgery Physician	$0	$501.4K
Wilson Choy	DE	Orthopaedic Surgery Physician	$402K	$0
Henry Mensack	DE	Physician Assistant	$385.9K	$0
Jay Dave	DE	Neurology Physician	$355K	$0
Patrick Kane	DE	Orthopaedic Surgery Physician	$352.7K	$0
Jeffrey Yocum	PA	Family Medicine Physician	$276.6K	$11.1K
Amanda Moore	DE	Physician Assistant	$287.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Medical Center, Inc.	DE	General Acute Care Hospital	$0	$29.2M
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
Juliano Senior Care, Inc.	DE	In Home Supportive Care Agency	$0	$5.9M
Sussex Emergency Associates LLC	DE	Emergency Medicine Physician	$0	$4.3M
Lourdes Aponte	DE	Rheumatology Physician	$3.6M	$0
Jose Pando	DE	Rheumatology Physician	$3.2M	$0
Delaware Psychological Services LLC	DE	Mental Health Counselor	$0	$3M
The Pediatric & Adolescent Center	DE	Specialist	$0	$2.9M
Sea Haven Home Care, LLC	DE	In Home Supportive Care Agency	$0	$2.3M
Southern Delaware Imaging Assoc	DE	Diagnostic Radiology Physician	$0	$2.3M

William Barrish — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References