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.

Randy Roberts (NPI 1447228663)

Field	Value
Entity Type	Individual
Organization	Randy Roberts
Address	1000 C East Matthews
City	Jonesboro
State	AR
ZIP	72401
Taxonomy	Rheumatology Physician
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-centric practice: lifetime Medicare revenue is $1.6M and there is no Medicaid billing on file, so payer mix is single‑payer dominated by Medicare and any Medicaid exposure is nil. The NPI was enumerated 2006-03-14 (~20 years ago), indicating long tenure in the market.

Revenue is highly concentrated in a small number of infusion and office-visit codes: the precomputed top 3 Medicare codes account for 87.8% of this provider's total Medicare revenue, driven by J0129 ($955.4K, 28.1K claims; 59.7% of Medicare revenue), Q5104 ($306.3K, 10.6K claims; 19.1%), and 99213 ($143.1K, 2.5K claims; 8.9%). This concentration signals specialization in a few high-dollar services rather than broad, evenly distributed Medicare billing.

The code mix indicates an infusion-centric rheumatology practice: the two highest-revenue codes are J0129 (abatacept injection) and Q5104 (infliximab biosimilar), both are physician‑administered biologic injections, and infusion administration codes such as 96365 (609 claims, $25.6K; ranks #262 of 8873 providers nationally (97th percentile; notably above typical national volume for this code)) and 96366 (211 claims, $3K) appear in the top 25, supporting an in‑office infusion service line. Office E/M code 99213 (2.5K claims) further signals frequent follow-up management visits associated with ongoing biologic therapy.

Competitive standing on specific biologics is strong: Q5104 ranks #3 of 178 providers nationally (99th percentile; notably above typical national volume for this code), and J0129 ranks #59 of 1221 providers nationally (95th percentile; notably above typical national volume for this code). These ranks indicate the provider is a major national-level administrator of these specific biologic therapies relative to peers.

Several procedure codes are extreme outliers, highlighting procedural intensity beyond infusions: 20610 (1.8K claims, $105K) ranks #39 of 39752 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 99213 ranks #413 of 457151 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). Together, high volumes of joint injections and frequent established-patient visits point to a busy, procedure-capable rheumatology practice.

There are additional notable drug/procedure signals: J3489 (zoledronic acid) shows 560 claims and $3.4K revenue and ranks #44 of 3032 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), suggesting frequent bisphosphonate administration, while routine diagnostics such as 36415 (1.3K claims, $10.1K) are characterized as typical/unremarkable volume despite high claim counts (ranks #1998 of 86467 providers nationally (98th percentile; typical, unremarkable volume for this code)). These patterns reinforce a practice focused on in‑office infusions and procedure-driven care rather than laboratory or imaging as primary revenue drivers.

The combination of long tenure (NPI 2006-03-14 (~20 years ago)), concentrated Medicare revenue ($1.6M total with top-3 codes = 87.8%), and multiple high-percentile national ranks for biologic and procedural codes suggests an established, specialized rheumatology infusion practice with national-level prominence for select infusion drugs and high local procedural volume. This profile has implications for network contracting and utilization management focused on in-office biologic administration and frequent follow-up visits.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	28,100	$30	$955.4K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	10,560	$30	$306.3K
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…	2,470	$60	$143.1K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	1,810	$60	$105K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	610	$40	$25.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,260	$10	$10.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	1,230	$10	$9.8K
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…	80	$100	$7.7K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	210	$30	$6.9K
86140	The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.	1,030	$10	$5.1K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Randy Roberts — 8 of 25 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

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	2	20	8,960	$30	$532.4K
Q5104	1	10	4,050	$30	$124.7K
99213	4	4,180	100	$50	$9.6K
96365	2	80	180	$40	$8.1K
96375	28	60	180	$10	$5.8K
99204	406	2,100	40	$100	$5.4K
20610	1	420	50	$40	$5.2K
85025	47	740	120	$10	$3K
36415	42	1,350	130	$10	$2.5K
77080	31	240	60	$20	$2.2K

Showing 1–10 of 30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Focus, Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$41.3M
St Bernards Hospital Inc	AR	General Acute Care Hospital	$0	$35.4M
Nea Therapy Providers, LLC	AR	Physical Therapist	$0	$26.9M
First Step Arkansas, LLC	AR	Early Intervention Provider Agency	$0	$23.8M
Communication Made Easy Inc	AR	Speech-Language Pathologist	$0	$17.8M
Baptist Memorial Hospital-jonesboro Inc	AR	General Acute Care Hospital	$0	$17M
The Logan Centers, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.5M
Arisa Health, Inc.	AR	Community/Behavioral Health Agency	$0	$15.6M
Kidsplace Learning Center Dba Kidspot	AR	Speech-Language Pathologist	$0	$14.1M
Miracle Kids Success Academy North	AR	Rehabilitation Clinic/Center	$0	$14M

Randy Roberts — Billing Profile & Reimbursement Data

Sign up for Randy Roberts — Billing Profile & Reimbursement Data policy alerts

Randy Roberts — Billing Profile & Reimbursement Data

Sign up for Randy Roberts — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References