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

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

Barnes Health Care Management Group LLC (NPI 1396999686)

Field	Value
Entity Type	Organization
Organization	Barnes Health Care Management Group LLC
Address	2101 Corona Rd Ste 102
City	Columbia
State	MO
ZIP	65203
Taxonomy	Geriatric Medicine (Internal Medicine) Physician
NPI Enumerated	November 12, 2008

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	181,310	$20	$4M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	129,290	$30	$3.7M
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	66,690	$10	$867K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	39,510	$10	$474.1K
99336	N/A	5,710	$40	$245.6K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3,010	$50	$156.6K
99335	N/A	4,230	$30	$122.8K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,220	$40	$93.4K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	1,590	$40	$60.2K
99334	N/A	2,920	$20	$49.6K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Barnes Health Care Management Group LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	270	430	$30	$77.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1	350	370	$20	$65.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	47	190	90	$90	$59.8K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	2	10	70	$40	$39.2K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1	20	250	$10	$34.2K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	4	60	230	$40	$33.3K
99335	N/A	3	70	220	$40	$29.8K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	53	80	180	$30	$28.7K
99336	N/A	1	50	150	$50	$25.1K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1	70	280	$10	$23.3K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Barnes Health Care Management Group LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Sutherland	MO	Family Medicine Physician	$474.1K	$0
Lewis Meyerson	MO	Family Medicine Physician	$340.9K	$18K
Catherine Vanvoorn	MO	Internal Medicine Physician	$350.9K	$0
Terry Thrasher	MO	Family Medicine Physician	$258K	$28K
Steven Cicero	MO	Family Medicine Physician	$275.6K	$0
Cherrie Termulo	KS	Hospitalist Physician	$269.1K	$0
Dennis Drews	MO	Internal Medicine Physician	$222.9K	$0
Ashlee Sutherland	MO	Nurse Practitioner	$177.9K	$0
Bamidele Ganiyu	MO	Psychiatric/Mental Health Nurse Practitioner	$174.3K	$0
Janet Morgan	MO	Family Medicine Physician	$118.5K	$53.3K

Nearby Providers

Other providers in the same ZIP code as Barnes Health Care Management Group LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maurizi Isl Home	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$35.8M
Fidelis Support Services LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$25.1M
Boone County Family Resources	MO	Case Management Agency	$0	$23.2M
Mid Missouri Surgery Center, LLC	MO	Ambulatory Surgical Clinic/Center	$1.6M	$3.3K
Timothy Mcgarity	MO	Ophthalmology Physician	$372.3K	$0
Hy-vee Inc	MO	Community/Retail Pharmacy	$297.3K	$0
Myra Watson	MO	Nephrology Physician	$290.6K	$0
Shane Holloway	MO	Nurse Practitioner	$246K	$0
Troy Loethen	MO	Internal Medicine Physician	$241.2K	$0
Blake Brooks	MO	Nephrology Physician	$214K	$0

Barnes Health Care Management Group LLC — Billing Profile & Reimbursement Data

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Barnes Health Care Management Group 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

Related Providers

Nearby Providers

Frequently Asked Questions

References