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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Gail Kirby (NPI 1760460869)

Field	Value
Entity Type	Individual
Organization	Gail Kirby
Address	108 W Church St
City	Greer
State	SC
ZIP	29650
Taxonomy	Nurse Practitioner
NPI Enumerated	January 9, 2006

Payer Source	Total Paid
Medicare	$69.1K
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
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…	520	$50	$25.2K
Q5106	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	3,990	$10	$23.9K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	30	$200	$6.7K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	20	$240	$4K
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…	40	$90	$4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	420	$10	$3.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	170	$10	$1.5K

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. South Carolina Distribution

Gail Kirby — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	123	130	180	$270	$53.7K
99214	1,388	7,860	160	$80	$23.2K
Q5106	2	10	1,270	$10	$11.9K
90961	74	130	40	$220	$10.3K
99204	2,087	4,520	40	$110	$6.4K
36415	437	2,090	140	$10	$2.7K
96372	200	1,620	50	$10	$880

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Ward	SC	Nephrology Physician	$186.7K	$0
Chokri Alioua	SC	Nephrology Physician	$161.5K	$0
Willy Tsai	SC	Nephrology Physician	$156.7K	$0
Kelly Heegard	SC	Nephrology Physician	$153.7K	$0
Istvan Bognar	SC	Nephrology Physician	$147.1K	$0
Blake Shusterman	SC	Nephrology Physician	$129K	$0
Victor Klimas	SC	Nephrology Physician	$127.1K	$0
Abhaya Varma	SC	Nephrology Physician	$125.3K	$0
Mark Purcell	SC	Internal Medicine Physician	$107.7K	$0
Tarak Shah	SC	Nephrology Physician	$91.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$10.9M
Pediatric Dentistry, PA	SC	Pediatric Dentistry	$0	$6.7M
Warren Keith Stafford, M.d.	SC	Family Medicine Physician	$0	$5.4M
The Pediatric Center	SC	Pediatrics Physician	$0	$3.9M
Innovation Counseling Services	SC	Community/Behavioral Health Agency	$0	$2.8M
Uhs Of Greenville, LLC	SC	Psychiatric Hospital	$0	$2.7M
Memorial Drive Medical PC, LLC	SC	Pediatrics Physician	$0	$2.1M
Surgery Center At Pelham, LLC	SC	Ambulatory Surgical Clinic/Center	$300.2K	$585K
Frank Armocida	SC	Adult Reconstructive Orthopaedic Surgery Physician	$393K	$0
Brayton Shirley	SC	Orthopaedic Surgery Physician	$308.8K	$0

Gail Kirby — Billing Profile & Reimbursement Data

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Gail Kirby — 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