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.

Barry Hastings (NPI 1891790259)

Barry Hastings is a surgery physician provider located in Greenville, North Carolina. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Barry Hastings
Address	1011 W H Smith Blvd
City	Greenville
State	NC
ZIP	27834
Taxonomy	Surgery Physician
NPI Enumerated	June 14, 2005

Payer Source	Total Paid
Medicare	$75K
Medicaid	$0

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

11 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…	180	$90	$15.8K
36825	The provider surgically creates an arteriovenous fistula, a connection between an artery and a vein, using an autogenous vein graft from the patient. This service is done to allow for hemodialysis…	20	$570	$12.1K
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…	100	$120	$11.3K
36818	The provider creates an arteriovenous anastomosis by connecting the cephalic vein to the brachial artery in the upper arm, which provides better vascular access in patients with kidney failure who…	10	$500	$7K
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	10	$470	$6.6K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	50	$130	$6.4K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	40	$130	$5K
93990	The provider assesses the flow of blood through a hemodialysis graft using duplex ultrasound scanning. He performs this procedure to evaluate the condition of the graft.	50	$100	$4.5K
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…	20	$170	$4K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	20	$90	$1.5K

Showing 1–10 of 11

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,472	18,060	110	$80	$15.1K
36825	1	10	20	$570	$12.1K
36818	1	10	10	$500	$7K
47562	35	80	10	$430	$6.4K
93880	270	700	40	$80	$5.1K
99205	1,124	2,290	20	$140	$4.9K
99204	896	8,430	30	$110	$4.8K
93970	277	700	30	$60	$2.9K
93971	679	810	40	$40	$2.3K
93990	4	50	20	$60	$1.7K

Barry Hastings — Billing Profile & Reimbursement Data

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Barry Hastings — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References