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

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

Donald Tolbert (NPI 1538399779)

Field	Value
Entity Type	Individual
Organization	Donald Tolbert
Address	3800 S W S Young Dr Ste 201
City	Killeen
State	TX
ZIP	76542
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	July 22, 2009

Payer Source	Total Paid
Medicare	$37K
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
01938	The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.	190	$80	$14.3K
01940	The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…	80	$90	$7.3K
01937	The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the cervical or thoracic spine or spinal cord.	80	$70	$6K
01942	The provider performs anesthesia services for a patient undergoing percutaneous image–guided neuromodulation procedures (altering nerve activity through stimulation) or intravertebral procedures…	40	$130	$5.1K
01939	The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is the cervical or…	30	$80	$2.6K
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	30	$70	$1.8K

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. Texas Distribution

Donald Tolbert — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01942	11	60	20	$110	$2.9K
01940	12	210	20	$80	$2.5K
01938	7	410	20	$60	$2.4K
01939	9	60	20	$80	$1.8K
01937	5	120	20	$60	$1.5K
00400	12	170	10	$80	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Isaac Zoch	TX	Pain Medicine (Anesthesiology) Physician	$685.1K	$0
Jerry Tarver	TX	Interventional Pain Medicine Physician	$463.1K	$0
Blake Sutton	TX	Interventional Pain Medicine Physician	$454.2K	$0
Kristian Delgado	TX	Interventional Pain Medicine Physician	$382.5K	$0
Syed Jaffery	TX	Pain Medicine (Anesthesiology) Physician	$373.5K	$0
Shannon Garitty	TX	Interventional Pain Medicine Physician	$334.9K	$0
Matthew Blanchard	MS	Interventional Pain Medicine Physician	$334.4K	$0
Andrew Mcdavid	TX	Interventional Pain Medicine Physician	$244.3K	$0
Daniel Munton	TX	Physical Medicine & Rehabilitation Physician	$160.8K	$0
Brian Goentzel	KS	Pain Medicine (Anesthesiology) Physician	$147.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Texas Day Surgery Center LLC	TX	Ambulatory Surgical Clinic/Center	$4.8M	$16.9K
Psa Ambulatory Surgery Center Of Killeen LLC	TX	Ambulatory Surgical Clinic/Center	$2.8M	$0
Shawn Puri	TX	Interventional Pain Medicine Physician	$85.8K	$0
Angela Miller	TX	Family Nurse Practitioner	$62.9K	$0
Melizza Saenz	TX	Certified Registered Nurse Anesthetist	$56.5K	$0
Kenneth Brock	TX	Psychiatry Physician	$42.2K	$0
Jeffrey Albritton	TX	Certified Registered Nurse Anesthetist	$35.8K	$0
Brittney Johnson	TX	Phlebotomy Technician	$34.1K	$70
Amanda Brokke	TX	Certified Registered Nurse Anesthetist	$15.3K	$0

Donald Tolbert — Billing Profile & Reimbursement Data

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Donald Tolbert — 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