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

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

Denise Barnes (NPI 1427647783)

Field	Value
Entity Type	Individual
Organization	Denise Barnes
Address	16605 Chestnut Glen Pl
City	Louisville
State	KY
ZIP	40245
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 12, 2021

Payer Source	Total Paid
Medicare	$153.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	1,930	$70	$125.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	230	$50	$11K
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…	60	$100	$5.5K
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…	150	$30	$4.8K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	180	$20	$3.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	30	$80	$2.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Denise Barnes — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	10	470	170	$70	$24.3K
99490	153	290	170	$30	$11.9K
99310	60	150	50	$100	$9.3K
99497	25	330	40	$60	$4.9K
99484	7	40	60	$20	$3.9K
99316	34	90	30	$90	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crysta Devine	KY	Family Nurse Practitioner	$284.3K	$0
Michelle King	KY	Family Nurse Practitioner	$230.2K	$0
Leon Butler	KY	Internal Medicine Physician	$216.7K	$0
Shane Napier	KY	Family Medicine Physician	$167.9K	$0
Dawn Kopp	IN	Family Nurse Practitioner	$130.6K	$0
Makayla Bullock	KY	Family Nurse Practitioner	$117.5K	$0
Brittany Clunie	KY	Gerontology Nurse Practitioner	$98K	$0
Marlena O'neil	KY	Family Nurse Practitioner	$93.3K	$0
Amanda Collier	TN	Family Nurse Practitioner	$88.3K	$250
Melanie Lawson	KY	Family Nurse Practitioner	$85.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Surgery Center Of Louisville LP	KY	Ambulatory Surgical Clinic/Center	$2.3M	$7.7M
Us Psychiatry PLLC	KY	Psychiatry Physician	$0	$8.5M
Providence Of Louisville LLC	KY	Community/Behavioral Health Agency	$0	$5.4M
Vasudeva Iyer	KY	Clinical Neurophysiology Physician	$72.2K	$434.5K
Melissa Wise	KY	Dermatology Physician	$158.8K	$0
Brittany O'neal	KY	Family Medicine Physician	$144.4K	$0
Alberto Maldonado	KY	Specialist	$65.9K	$76K
Walgreen Co	KY	Pharmacy	$119.9K	$0
Ragan Graves	KY	Family Nurse Practitioner	$86K	$890
Sandeep Kapoor	KY	Internal Medicine Physician	$68.3K	$11.2K

Denise Barnes — Billing Profile & Reimbursement Data

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Denise Barnes — 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