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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Charlsie Taylor (NPI 1962948422)

Charlsie Taylor is a medical physician assistant provider located in Gainesville, Georgia. This profile covers 25 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	Charlsie Taylor
Address	1240 Jesse Jewell Pkwy Se
City	Gainesville
State	GA
ZIP	30501
Taxonomy	Medical Physician Assistant
NPI Enumerated	January 9, 2017

Payer Source	Total Paid
Medicare	$65.8K
Medicaid	$0

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

25 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…	370	$80	$28K
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…	240	$50	$12.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	510	$10	$4.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	380	$10	$3K
86140	The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.	420	$10	$2.1K
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…	20	$90	$1.8K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	60	$30	$1.7K
85651	The lab analyst performs the typical manual erythrocyte sedimentation rate test using whole blood she places in a slender tube. She records the distance in millimeters that the erythrocytes or red…	410	$1	$1.7K
84450	The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic…	310	$10	$1.5K
84460	The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.…	310	$10	$1.5K

Showing 1–10 of 25

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,441	13,640	120	$80	$17.8K
83970	122	130	40	$40	$15.2K
82306	229	470	60	$30	$10K
80053	549	770	190	$10	$9.7K
99213	2,648	13,360	80	$60	$9.2K
20610	1,238	1,320	60	$50	$5.8K
86160	17	40	80	$10	$5.2K
85025	280	1,030	140	$10	$5.2K
99204	5,106	7,260	30	$110	$5.1K
36415	377	3,010	100	$10	$3.2K

Charlsie Taylor — 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