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.

James Davis (NPI 1568703379)

Field	Value
Entity Type	Individual
Organization	James Davis
Address	229 N Main St
City	Versailles
State	KY
ZIP	40383
Taxonomy	Public Health & General Preventive Medicine Physician
NPI Enumerated	March 5, 2013

Payer Source	Total Paid
Medicare	$17.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	100	$70	$6.7K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	40	$140	$6K
G0008	Administration of influenza virus vaccine	100	$30	$2.5K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	40	$40	$1.6K
0134A	N/A	10	$40	$460
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	20	$20	$400
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	20	$10	$240

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

James Davis — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91322	240	390	60	$140	$10.9K
90662	261	1,270	40	$70	$4.5K
90480	452	850	50	$30	$2.7K
G0008	435	1,910	50	$30	$2K
0134A	132	150	20	$40	$970
90686	52	150	20	$20	$580
90471	4	20	10	$10	$180

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Vista Of The Bluegrass Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$166M
Woodford Hospital LLC	KY	Critical Access Hospital	$0	$11.7M
Brian Smith	KY	Family Medicine Physician	$192.9K	$3.2M
Steps Ahead, Inc.	KY	Case Management Agency	$0	$3.4M
Woodford County	KY	Land Ambulance	$216.4K	$323.1K
Richard Graebe	KY	Optometrist	$20.5K	$469.5K
Robby Hutchinson	KY	Family Medicine Physician	$135.4K	$0
Michael Spalding	KY	Physical Therapist	$112.2K	$0
Katherine Bollinger	KY	Physician Assistant	$41.2K	$0
Forest Walker	KY	Emergency Medicine Physician	$35.4K	$0

James Davis — Billing Profile & Reimbursement Data

Sign up for James Davis — Billing Profile & Reimbursement Data policy alerts

James Davis — Billing Profile & Reimbursement Data

Sign up for James Davis — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References