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

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

Ernest Hayes, Dpm (NPI 1467547158)

Field	Value
Entity Type	Individual
Organization	Ernest Hayes, Dpm
Address	19 E Main St
City	Machias
State	ME
ZIP	04654
Taxonomy	Podiatrist
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicare	$5.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11057	The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	30	$60	$2.2K
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…	20	$100	$2K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	30	$30	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Ernest Hayes, Dpm — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	41	50	240	$30	$12.2K
99349	53	60	50	$80	$5.7K
11057	2	10	40	$60	$2.7K

Nearby Providers

Other providers in the same ZIP code as Ernest Hayes, Dpm, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Opportunities	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.6M
Sunrise Opportunities	ME	Developmentally Disabled Services Day Training Agency	$0	$5.6M
Eastport Health Care, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$5.1M
Down East Community Hospital	ME	Critical Access Hospital	$0	$4.5M
Sunrise Opportunities	ME	Community/Behavioral Health Agency	$0	$1.1M
Sunrise Opportunities	ME	Case Management Agency	$0	$948.8K
Town Of Machias	ME	Land Ambulance	$183.7K	$505.2K
Michelle Del Tufo	ME	Physical Therapist	$90.7K	$0

Ernest Hayes, Dpm — Billing Profile & Reimbursement Data

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Ernest Hayes, Dpm — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References