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

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

William Barnes (NPI 1598730012)

Field	Value
Entity Type	Individual
Organization	William Barnes
Address	4302 Del Prado Blvd S
City	Cape Coral
State	FL
ZIP	33904
Taxonomy	Chiropractor
NPI Enumerated	February 19, 2006

Payer Source	Total Paid
Medicare	$80K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	2,860	$30	$80.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

William Barnes — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	7	1,550	330	$30	$13.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunset Home Health Services Inc.	FL	Home Health Agency	$0	$22M
Tcm Quality Services,inc	FL	Case Management Agency	$0	$9.7M
Lovin Care Home Health Inc	FL	Home Health Agency	$0	$7.2M
Cape Coral Eye Center, P.A.	FL	Ophthalmologic Surgery Clinic/Center	$1.2M	$0
Cape Coral Ambulatory Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$796.6K	$0
John Stephens	FL	Ophthalmology Physician	$443K	$0
Bradley Trope	FL	Gastroenterology Physician	$340.2K	$0
Barbara Pyatt	FL	Occupational Therapist	$193.6K	$0
Stuart Kaplan	FL	Optometrist	$141.8K	$0
John Patrick	FL	Anesthesiology Physician	$133.3K	$0

William Barnes — Billing Profile & Reimbursement Data

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William Barnes — 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