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.

Charlie Davis (NPI 1710462924)

Field	Value
Entity Type	Individual
Organization	Charlie Davis
Address	800 Hospital Dr
City	Madisonville
State	KY
ZIP	42431
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	October 3, 2018

Payer Source	Total Paid
Medicare	$32.3K
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…	220	$70	$15.6K
93793	The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…	830	$10	$5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	80	$40	$3.6K
85610	Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…	750	$1	$3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$110	$1.9K
99204	The provider sees a new 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 provider…	20	$80	$1.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$80	$1000
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$50	$970

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. Kentucky Distribution

Charlie Davis — 2 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,033	7,230	110	$70	$14.1K
99232	2,667	2,860	100	$60	$11.6K
99213	3,526	7,250	80	$50	$7.7K
99215	1,060	1,440	30	$110	$6.3K
99204	2,542	3,200	30	$100	$4.8K
99222	1,936	2,070	30	$90	$4.5K
93793	3	70	120	$10	$1.6K
85610	6	150	90	$1	$840

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Deaconess Medical Group Inc	KY	Internal Medicine Physician	$0	$5.2M
Dwight Fitch	FL	Radiation Oncology Physician	$1.5M	$0
Jonathan Barnes	GA	Radiation Oncology Physician	$1.1M	$0
Arvind Durvasan	AZ	Nephrology Physician	$639.3K	$8.9K
Peter Locken	KY	Radiation Oncology Physician	$426K	$0
Deepak Kapadia	KY	Cardiovascular Disease Physician	$225.1K	$180.7K
Mandeep Sahani	AZ	Nephrology Physician	$403.6K	$0
James Fellows	KY	Urology Physician	$192.2K	$137.8K
Sandeep Sharma	KY	Pulmonary Disease Physician	$297.9K	$0
Abhishek Kapila	KY	Internal Medicine Physician	$258.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Deaconess Madisonville Inc	KY	Rural Acute Care Hospital	$0	$80.8M
Caris Counseling & Behavioral Health Group	KY	Professional Counselor	$0	$8.1M
Medical Center Ambulance Service Inc	KY	Land Ambulance	$745.8K	$1.2M
Owensboro Health Medical Group, Inc	KY	Clinical Medical Laboratory	$42.2K	$478.6K
Ashwani Kumar	KY	Hospitalist Physician	$290.5K	$200
Robert Holzknecht	KY	Family Medicine Physician	$217.1K	$0
Henry Smith	KY	Plastic and Reconstructive Surgery Physician	$186.8K	$0
William Smith	KY	Dermatology Physician	$174.6K	$0
Francinia Mccartney	KY	Ophthalmology Physician	$150.8K	$0
Bradly Newcom	KY	Pain Medicine Physician	$147.1K	$0

Charlie Davis — Billing Profile & Reimbursement Data

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Charlie Davis — 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