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

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

Carla Randolph (NPI 1629018411)

Field	Value
Entity Type	Individual
Organization	Carla Randolph
Address	305 Paul Bryant Dr E
City	Tuscaloosa
State	AL
ZIP	35401
Taxonomy	Surgical Physician Assistant
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicare	$10.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	40	$130	$5.3K
27236	In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…	20	$120	$2.1K
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	10	$150	$1.9K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	10	$130	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Carla Randolph — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	43	210	30	$710	$23.4K
27130	99	110	20	$620	$16.8K
23472	44	50	20	$680	$14.3K
27236	3	30	10	$600	$8.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leroy Atkins	AL	Orthopaedic Surgery Physician	$309.7K	$0
Fuller Mccabe	AL	Orthopaedic Surgery Physician	$162.7K	$0
Donald Scott	AL	Orthopaedic Surgery Physician	$141.3K	$0
Frederick Graham	AL	Physical Medicine & Rehabilitation Physician	$116.9K	$0
William Standeffer	AL	Orthopaedic Surgery Physician	$85.8K	$0
Kevin Thompson	AL	Orthopaedic Surgery Physician	$84.1K	$0
Stephen Ikard	AL	Orthopaedic Surgery Physician	$78.8K	$0
Barry Callahan	AL	Orthopaedic Hand Surgery Physician	$77.1K	$0
Brian Claytor	AL	Orthopaedic Surgery Physician	$65.7K	$0
Stacey Moffitt	AL	Surgical Physician Assistant	$1.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Dch Healthcare Authority	AL	General Acute Care Hospital	$0	$16M
Capstone Health Services Foundation PC	AL	Family Medicine Physician	$0	$12.5M
Whatley Health Services Inc	AL	Federally Qualified Health Center (FQHC)	$0	$8.8M
Northstar Ems, Inc.	AL	Land Ambulance	$2.1M	$5.6M
Greater Alabama Health Network	AL	Case Management Agency	$0	$5.1M
Relias Emergency Medicine Specialists Of Regional, LLC	AL	Emergency Medicine Physician	$0	$4.4M
Tuscaloosa Neonatal PC	AL	Neonatal-Perinatal Medicine Physician	$0	$2.9M
Dva Healthcare Of Tuscaloosa LLC	AL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Neonatal Medical Care P.C.	AL	Neonatal-Perinatal Medicine Physician	$0	$1.7M
Greater Alabama Health Network	AL	Exclusive Provider Organization	$0	$1.4M

Carla Randolph — Billing Profile & Reimbursement Data

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Carla Randolph — 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