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.

Paul Garner (NPI 1467499483)

Field	Value
Entity Type	Individual
Organization	Paul Garner
Address	815 E Parrish Ave
City	Owensboro
State	KY
ZIP	42303
Taxonomy	Anesthesiology Physician
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicare	$3.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64448	The provider places a catheter and administers one or more anesthetic agents and/or a steroid by continuous infusion into the area of the femoral nerve, which innervates the leg and foot.	30	$60	$1.6K
64447	The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…	20	$40	$690
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	20	$40	$560
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	20	$20	$430
64450	The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.	20	$20	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Paul Garner — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64450	20	30	30	$30	$1.5K
76942	113	170	20	$30	$1.4K
64448	7	30	20	$50	$1.3K
64447	91	140	20	$40	$1.2K
36620	129	210	20	$30	$750

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oliver James	KY	Pain Medicine (Anesthesiology) Physician	$321.1K	$0
Edward Nelson	OH	Pain Medicine Physician	$165.3K	$0
Daniel Huther	KY	Certified Registered Nurse Anesthetist	$155K	$0
James Durbin	KY	Certified Registered Nurse Anesthetist	$140.3K	$0
Chris Jurgensmeyer	IN	Certified Registered Nurse Anesthetist	$114.2K	$0
Betty Sandlin	KY	Certified Registered Nurse Anesthetist	$66.9K	$0
David Duff	KY	Certified Registered Nurse Anesthetist	$57.2K	$0
Michael Kaplan	NY	Anesthesiology Physician	$50.4K	$0
Dyan Sefton	IN	Certified Registered Nurse Anesthetist	$47K	$0
Brian O'neill	KY	Certified Registered Nurse Anesthetist	$46.6K	$0

Paul Garner — 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

Frequently Asked Questions

References