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

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

Edward Barnes (NPI 1770538738)

Field	Value
Entity Type	Individual
Organization	Edward Barnes
Address	3443 Dickerson Pike
City	Nashville
State	TN
ZIP	37207
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicare	$380.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	3,540	$20	$63.7K
J1439	Injection, ferric carboxymaltose, 1 mg	58,500	$1	$58.5K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	25,240	$1	$50.5K
J1454	Injection, fosnetupitant 235 mg and palonosetron 0.25 mg	90	$300	$27.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	300	$80	$24.9K
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…	340	$60	$19K
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…	160	$90	$13.8K
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…	100	$120	$12.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	1,090	$10	$10.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,260	$10	$10.1K

Showing 1–10 of 55

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Edward Barnes — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

55 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	100	240	2,940	$20	$85K
J0881	26	70	19,050	$1	$54.4K
J1439	26	90	34,130	$1	$38.6K
J1454	20	70	70	$340	$25.6K
96413	69	240	150	$90	$18.9K
99214	4,755	11,370	120	$80	$16.6K
M0010	47	70	140	$70	$11.5K
99215	511	2,710	40	$110	$8.3K
99213	1,192	11,030	80	$50	$8K
90694	1,265	1,300	50	$70	$5.7K

Showing 1–10 of 55

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Oncology PLLC	TN	Hematology & Oncology Physician	$0	$8.5M
James Gray	TN	Radiation Oncology Physician	$4.9M	$0
Mark Womack	TN	Hematology & Oncology Physician	$2.4M	$0
Bertrand Anz	TN	Hematology & Oncology Physician	$2.4M	$0
Dana Thompson	TN	Medical Oncology Physician	$2.2M	$0
Kent Shih	TN	Hematology & Oncology Physician	$2.2M	$0
Joshua Mondschein	TN	Radiation Oncology Physician	$2.1M	$0
Derek Holland	TN	Hematology & Oncology Physician	$2M	$0
Josiah Magnusson	FL	Nuclear Medicine Physician	$1.8M	$0
William Donnellan	TN	Hematology & Oncology Physician	$1.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hti Memorial Hospital Corporation	TN	General Acute Care Hospital	$0	$23.7M
Doverside Emergency Physicians PLLC	TN	Emergency Medicine Physician	$0	$4M
Able Helpers Homecare LLC	TN	In Home Supportive Care Agency	$0	$3.4M
Scarab Behavioral Health Services, LLC	TN	Professional Counselor	$0	$3.2M
Cutter Cares LLC.	TN	Durable Medical Equipment & Medical Supplies	$0	$2.5M
Fairen Walker-mccarter	TN	Physical Medicine & Rehabilitation Physician	$390K	$0
William Liggett	TN	Hematology & Oncology Physician	$286.3K	$0
Morgan Parker	TN	Ophthalmology Physician	$270.6K	$0
Monicka Stevenson	TN	Family Nurse Practitioner	$167.9K	$980
Orlando Rodriguez	TN	Pulmonary Disease Physician	$154.4K	$0

Edward Barnes — Billing Profile & Reimbursement Data

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Edward 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

Related Providers

Nearby Providers

Frequently Asked Questions

References