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

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

Deborah Barton (NPI 1548234222)

Field	Value
Entity Type	Individual
Organization	Deborah Barton
Address	1380 E Medical Center Dr Ste 4100
City	St George
State	UT
ZIP	84790
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicare	$17.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established 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…	190	$60	$12K
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	210	$10	$2.8K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	30	$40	$1.2K
93017	The provider records the electrical activity of the heart to examine for any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular intervals with the…	30	$20	$430
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	10	$10	$180
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$150
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	10	$10	$130
93286	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the existing parameters of a single, dual, multiple–lead, or leadless pacemaker system before, during,…	10	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Deborah Barton — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	969	4,080	80	$80	$11.6K
93280	37	50	60	$50	$4.1K
80053	420	440	60	$10	$2.5K
80061	287	310	60	$10	$2.5K
36415	701	870	50	$10	$1.6K
93017	11	20	40	$20	$1.1K
93016	4	50	40	$10	$1.1K
93286	12	10	60	$10	$640

Deborah Barton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References