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.

Claire Naylor (NPI 1841524212)

Field	Value
Entity Type	Individual
Organization	Claire Naylor
Address	6144 Airport Blvd
City	Mobile
State	AL
ZIP	36608
Taxonomy	Surgical Physician Assistant
NPI Enumerated	October 1, 2009

Payer Source	Total Paid
Medicare	$11.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	90	$130	$11.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Claire Naylor — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	9	210	30	$710	$23.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Dennis	AL	Plastic Surgery Physician	$78.2K	$0
Jimmie Gavras	AL	Surgery Physician	$38.6K	$0
Caroline Mcgugin	AL	Surgery Physician	$32.8K	$0
Christopher Dyas	AL	Surgery Physician	$29.8K	$0
John Wilson	AL	Surgery Physician	$28.1K	$0
Lee Thompson	AL	Surgical Oncology Physician	$27.9K	$0
Katelin Holmes	AL	Surgical Oncology Physician	$15.6K	$0
Larkin Daniels	AL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$13.1K	$0
Osman Hashmi	AL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$9K	$0

Claire Naylor — Billing Profile & Reimbursement Data

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Claire Naylor — 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

Frequently Asked Questions

References