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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Derek Calkins (NPI 1457882953)

Field	Value
Entity Type	Individual
Organization	Derek Calkins
Address	615 Ridge Rd
City	Roxboro
State	NC
ZIP	27573
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 26, 2017

Payer Source	Total Paid
Medicare	$41.1K
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
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$130	$12K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	180	$60	$10.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	160	$60	$9.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$90	$5K
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…	40	$60	$2.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	10	$140	$1.9K

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. North Carolina Distribution

Derek Calkins — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	578	740	130	$50	$13.5K
99306	345	380	50	$130	$12.7K
99233	2,448	4,230	70	$90	$10.1K
99232	1,507	5,690	70	$60	$8.1K
99223	610	4,580	30	$130	$6.5K
99238	2	930	20	$60	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammed Farooqui	NC	Cardiovascular Disease Physician	$517.7K	$0
Vlastimil Smetka	SC	Family Medicine Physician	$457.3K	$0
Saadat Khan	NC	Pulmonary Disease Physician	$352.9K	$0
Ingrid Calliste	FL	Nephrology Physician	$265K	$0
Asad Zamann	TX	Nephrology Physician	$238.9K	$0
Ulric Bigby	MD	Adult Reconstructive Orthopaedic Surgery Physician	$227.7K	$0
Adam Chornoby	MI	Cardiovascular Disease Physician	$222.4K	$0
Cindy Zughbi	IA	Family Medicine Physician	$209.9K	$0
Matthew Eskridge	NC	Urology Physician	$208.3K	$0
Thanigaiarsu Thiyagarajan	NC	Internal Medicine Physician	$191.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Home Care Inc	NC	In Home Supportive Care Agency	$0	$8.1M
County Of Person Office Of County Finance	NC	Ambulance	$398.2K	$1.8M
Patrick Godwin	NC	Internal Medicine Physician	$222.2K	$0
Miriam Lavelle	NC	Optometrist	$24.7K	$40.9K
Monica Hocutt	NC	Certified Registered Nurse Anesthetist	$28.8K	$0
Ellie Lee	NC	Diagnostic Radiology Physician	$23.2K	$0
Kenneth Strachan	NC	Internal Medicine Physician	$21.2K	$0
Stephanie Saunders	NC	Chiropractor	$13.2K	$0

Derek Calkins — Billing Profile & Reimbursement Data

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Derek Calkins — 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