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.

Samantha Barraclough (NPI 1780232819)

Field	Value
Entity Type	Individual
Organization	Samantha Barraclough
Address	1810 Stadium Dr Ste 240
City	Phenix City
State	AL
ZIP	36867
Taxonomy	Physician Assistant
NPI Enumerated	September 2, 2019

Payer Source	Total Paid
Medicare	$7.5K
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
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	$80	$5.8K
51700	Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter. These medications are usually anti–inflammatory agents used to treat infection or…	20	$60	$1.4K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	20	$10	$160
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$140

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

Samantha Barraclough — 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
99213	610	6,470	80	$50	$7.9K
36415	254	1,550	100	$10	$4.8K
51700	8	30	20	$50	$1.6K
51798	26	160	100	$10	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Sharp	AK	Urology Physician	$356K	$0
Tony Nimeh	AK	Urology Physician	$271.6K	$0
Scott Mitchell	NY	Internal Medicine Physician	$175.7K	$31.3K
Fairbanks Urology	AK	Urology Physician	$0	$197K
Kenneth Fish	NY	Family Medicine Physician	$181K	$10K
Paul Patton	AK	Surgical Physician Assistant	$32K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Enterprises PC	AL	General Practice Physician	$0	$5.1M
Christa D. Spann Dmd, LLC	AL	General Practice Dentistry	$0	$3.2M
Caring For Kids	AL	Pediatrics Physician	$0	$3M
Jacksons Point Of Light Family Medicine Inc.	AL	Family Medicine Physician	$0	$2.2M
R. Griff Gordy PC	AL	Optometrist	$0	$1.2M
Columbus Hospice Of Alabama	AL	Community Based Hospice Care Agency	$0	$1.2M
Phenix Speech And Language Services	AL	Speech-Language Pathologist	$0	$1.1M
Eye Lab Vision Center, Inc.	AL	Optometrist	$0	$938.8K
Russell County Community Hospital LLC	AL	General Acute Care Hospital	$0	$869.5K
Russell County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$858.4K

Samantha Barraclough — Billing Profile & Reimbursement Data

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Samantha Barraclough — 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