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.

William Roberts (NPI 1962486977)

Field	Value
Entity Type	Individual
Organization	William Roberts
Address	1613 N Mckenzie St
City	Foley
State	AL
ZIP	36535
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	December 2, 2005

Payer Source	Total Paid
Medicare	$54.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	630	$50	$28.2K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	490	$40	$19.5K
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…	40	$90	$3.6K
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…	20	$60	$1.4K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	60	$20	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

William Roberts — 1 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,497	7,330	120	$80	$16.8K
11042	9	140	80	$50	$7.9K
99213	205	6,470	80	$50	$7.9K
99204	1,498	3,750	30	$100	$4.8K
11045	15	20	120	$20	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Stringfellow	AL	Physical Therapist	$258.8K	$0
Thomas Terral	AL	Orthopaedic Surgery Physician	$190.6K	$0
Albert Savage	AL	Orthopaedic Surgery Physician	$163.8K	$0
Joey Carter	AL	Orthopaedic Surgery Physician	$141.8K	$0
Jason Determann	AL	Orthopaedic Surgery Physician	$114.5K	$0
Trevor Stubbs	AL	Orthopaedic Surgery Physician	$85K	$0
Michael Clark	AL	Orthopedic Physical Therapist	$64.2K	$0
Robert Dawson	AL	Surgical Physician Assistant	$53.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary A. Eberly, Md PC	AL	Pediatrics Physician	$0	$5.5M
South Baldwin Childrens Center PC	AL	Pediatrics Physician	$0	$4.6M
Foley Hospital Company LLC	AL	General Acute Care Hospital	$0	$4.5M
Sea Smiles, LLC	AL	Pediatric Dentistry	$0	$2.1M
Foley Emergency Physicians, LLC	AL	Emergency Medicine Physician	$0	$1.6M
South Baldwin Dental Associates	AL	General Practice Dentistry	$0	$1.6M
Emerald Sands Medical Center	AL	Primary Care Clinic/Center	$0	$1.2M
Gulf Coast Counseling Services	AL	Addiction (Substance Use Disorder) Counselor	$0	$1.1M
Samuel Townsley	AL	General Practice Dentistry	$0	$848.8K
Med-trans Corporation	AL	Air Ambulance	$423.5K	$49K

William Roberts — Billing Profile & Reimbursement Data

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William Roberts — 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