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

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

Stacy Banes (NPI 1548477318)

Field	Value
Entity Type	Individual
Organization	Stacy Banes
Address	101 Mills St
City	Brookhaven
State	MS
ZIP	39601
Taxonomy	Occupational Therapist
NPI Enumerated	May 17, 2007

Payer Source	Total Paid
Medicare	$191.3K
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
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	4,300	$20	$98.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	5,140	$20	$87.4K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	100	$70	$6.4K

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. Mississippi Distribution

Stacy Banes — 3 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	13	710	800	$20	$20.3K
97530	6	570	420	$20	$15.7K
97166	2	50	30	$70	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Barker	MS	Physical Therapist	$276.4K	$0
Andrew Biggs	MS	Physical Therapist	$138.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
King's Daughters Medical Center	MS	General Acute Care Hospital	$0	$32.2M
Mid South Home Care, LLC	MS	In Home Supportive Care Agency	$0	$10.8M
Kdmc Physician Clinics LLC	MS	Multi-Specialty Clinic/Center	$0	$9.2M
Precision Healthcare Staffing LLC	MS	Homemaker	$0	$4.7M
Joey Sessums	MS	Pediatric Dentistry	$0	$3.9M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.8M
Brookhaven Ob-gyn Associates, PA	MS	Specialist	$0	$2.5M
Therapy Nook PC	MS	Speech-Language Pathologist	$0	$2.2M
Passionate Care Home Health,llc	MS	Home Health Agency	$0	$1.6M
Lincare Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$1.5M

Stacy Banes — Billing Profile & Reimbursement Data

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Stacy Banes — 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