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.

Alabama Anesthesiology And Pain Consultants P.C. (NPI 1831388255)

Alabama Anesthesiology And Pain Consultants P.C. is a anesthesiology physician provider located in Pell City, Alabama. This profile covers 0 Medicare and 32 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Alabama Anesthesiology And Pain Consultants P.C.
Address	2804 Dr. John Haynes Drive
City	Pell City
State	AL
ZIP	35125
Taxonomy	Anesthesiology Physician
NPI Enumerated	October 22, 2007

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

32 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…	28,510	$30	$712.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	7,720	$30	$254.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	2,820	$10	$25.4K
99205	The provider sees a new 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 provider…	340	$70	$23.5K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	450	$50	$22.4K
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…	2,070	$10	$14.5K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,170	$10	$10.5K
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…	190	$40	$8K
99443	N/A	490	$10	$4.9K
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	140	$10	$1.8K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Alabama Anesthesiology And Pain Consultants P.C. — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	41	1,990	680	$60	$201.7K
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…	617	1,990	560	$40	$185.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	10	100	610	$40	$152.5K
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…	183	630	60	$80	$45.8K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	7	30	80	$80	$42.5K
99205	The provider sees a new 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 provider…	27	160	70	$200	$39K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	130	210	150	$40	$23.8K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	6	10	70	$20	$9.7K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	5	190	350	$1	$6.8K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	18	70	260	$10	$6K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Corey Gilliland	AL	General Practice Physician	$177.3K	$0
Jennifer Yates	AL	Family Nurse Practitioner	$103.9K	$0
James Gillespie	AL	Interventional Pain Medicine Physician	$96.2K	$0
Keith Barrett	AL	Surgery Physician	$90.1K	$0
Joseph Rogers	AL	Family Nurse Practitioner	$80.6K	$0
Jessica Marshman	AL	Physician Assistant	$67.8K	$0
Kayla Winfrey	AL	Nurse Practitioner	$63.9K	$0
Edina Von Rottenthaler	AL	Internal Medicine Physician	$62.5K	$0
Howard Mcveigh	AL	Family Medicine Physician	$48.9K	$0
Bradley Elliott	AL	Nurse Practitioner	$39.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dental Associates, LLC	AL	Pediatric Dentistry	$0	$5.5M
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$4.6M
St. Vincent's St. Clair, LLC	AL	General Acute Care Hospital	$0	$2.4M
Main Street Clinic, LLC	AL	Pediatrics Physician	$0	$2M
Leaps Academy Inc	AL	Pediatric Occupational Therapist	$0	$1.8M
St Clair County Health Dept-pell City Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.5M
Inri Medical Associates, PC	AL	Family Medicine Physician	$0	$1M
Rutwij Jotani	AL	Family Medicine Physician	$155.4K	$0
Carl Russell	AL	Family Medicine Physician	$136.4K	$0
Fazal Rahim	AL	Neurology Physician	$126.7K	$0

Alabama Anesthesiology And Pain Consultants P.C. — Billing Profile & Reimbursement Data

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Alabama Anesthesiology And Pain Consultants P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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