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

Why is the Medicaid comparison limited to North 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. North 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.

Peter Ballard (NPI 1811378102)

Field	Value
Entity Type	Individual
Organization	Peter Ballard
Address	2817 Rock Merritt Ave
City	Fort Bragg
State	NC
ZIP	28310
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 12, 2015

Payer Source	Total Paid
Medicare	$11.4K
Medicaid	$0

Key Findings

PETER BALLARD is an Emergency Medicine Physician based in FORT BRAGG, NC with an NPI enumerated on 2015-06-12 (~11 years ago). Lifetime Medicare revenue on file is $11.4K and there is no Medicaid billing on file, indicating this profile reflects Medicare-facing activity only.

The provider’s billed services are concentrated in emergency department evaluation and management and basic cardiac diagnostics, consistent with an emergency medicine practice. The top billed CPT codes are 99285 and 99284 (high- and moderate-complexity ED E/M visits) and 93010 (ECG interpretation), which together align with frontline ED patient evaluation and routine ECG review.

Revenue concentration is extreme within Medicare: the top three codes account for 100.0% of this provider’s total Medicare revenue, with 99285 alone representing 75.2% of Medicare revenue. Specific reported volumes show 99285 at 66 claims with $130 avg paid/claim yielding $8.6K revenue, 99284 at 26 claims with $95 avg paid/claim yielding $2.5K revenue, and 93010 at 60 claims with $6 avg paid/claim yielding $360 revenue.

Payer mix is effectively single-payer from the file: Medicare accounts for the entire reported lifetime public payer revenue ($11.4K) and there is explicitly no Medicaid billing on record. For payers and network analysts, this means Medicaid exposure or negotiate-to-rate activity is not observable for this NPI.

Competitive standing on the provider’s highest-value code, 99285, is modest nationally: the record shows 99285 ranks #39822 of 61347 providers nationally (35th percentile; typical, unremarkable volume for this code). That ranking suggests the provider is not a major national volume leader for high-acuity ED visits but maintains routine engagement with high-complexity ED care.

The secondary ED code 99284 and ECG code 93010 likewise show modest activity versus peers: 99284 ranks #51871 of 64306 providers nationally (18th percentile; typical, unremarkable volume for this code) and 93010 ranks #33002 of 50616 providers nationally (34th percentile; typical, unremarkable volume for this code). These percentiles indicate the provider’s Medicare claim mix and volumes are within typical ranges rather than being notable outliers.

None of the listed codes are flagged as statistical outliers in the provided descriptors; each is labeled “typical, unremarkable volume for this code,” which aligns with the percentile rankings and moderate claim counts. Together with the small total Medicare revenue ($11.4K) and modest claim counts, the pattern is most consistent with limited Medicare-facing throughput (e.g., low-volume clinician billing or subsumed clinical role) rather than concentrated specialty procedures or diagnostic dominance.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	70	$130	$8.6K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	30	$100	$2.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	60	$10	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Peter Ballard — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	1	2,210	110	$130	$16.9K
99284	4	2,190	60	$80	$6K
93010	2	1,880	120	$10	$1.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Kassop	NC	Cardiovascular Disease Physician	$2.3M	$0
John Babich	NC	Rheumatology Physician	$565.1K	$0
Jarrad Berry	NC	Optometrist	$81K	$225.8K
Anton Vlasov	NC	Ophthalmology Physician	$284.4K	$0
Sheldon Jensen	NC	Diagnostic Radiology Physician	$169.8K	$40
Prutha Patel	NC	Physical Medicine & Rehabilitation Physician	$114.1K	$0
Matthew Reinhardt	NC	Emergency Medicine Physician	$108.8K	$0
Thomas Longo	NC	Clinical Psychologist	$105.1K	$0
John Bonnes	NC	Family Medicine Physician	$80.8K	$310
Naveed Naz	NC	Cardiovascular Disease Physician	$61.8K	$450

Peter Ballard — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References