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

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

Gary Bolton (NPI 1972620797)

Field	Value
Entity Type	Individual
Organization	Gary Bolton
Address	305 Highland Park Cv
City	Ridgeland
State	MS
ZIP	39157
Taxonomy	Dermatology Physician
NPI Enumerated	March 25, 2007

Payer Source	Total Paid
Medicare	$143.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	520	$60	$31.7K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	970	$30	$30.1K
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…	510	$50	$27.4K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	4,210	$1	$16.9K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	150	$90	$14.1K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	170	$50	$8.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	250	$30	$7.7K
99203	The provider sees a new 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 provider…	70	$70	$4.5K
11200	The provider removes skin tags in any area of the body, up to and including 15 lesions.	30	$50	$1.3K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	20	$30	$820

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Gary Bolton — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17110	9	130	150	$60	$12.7K
11102	57	130	160	$50	$11.9K
17004	13	80	60	$100	$10.9K
17000	12	160	190	$30	$10.6K
99213	373	4,000	100	$50	$10.3K
17003	8	130	930	$1	$5.2K
99203	332	1,480	30	$60	$3.5K
11103	86	100	60	$30	$3.2K
99212	59	960	30	$30	$2.4K
99202	168	200	30	$40	$1.7K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Healthcare Agency, Inc.	MS	Nursing Care Agency	$0	$83.7M
Youth Villages, Inc.	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.4M
Tolley Valerie	MS	Parenteral & Enteral Nutrition Supplies (DME)	$0	$16M
Caring Hands Prescribed Pediatric Extended Care	MS	Medically Fragile Infants and Children Day Care	$0	$11.4M
Bond Pharmacy Inc	MS	Home Infusion Therapy Pharmacy	$680.7K	$10.4M
Jackson Pediatric Associates	MS	Specialist	$0	$6.8M
Homecare Plus, Inc.	MS	Community/Retail Pharmacy	$0	$6.3M
Mea Primary Care Plus LLC	MS	Family Medicine Physician	$0	$4.8M
Pafford Ems Of Mississippi, Inc	MS	Ambulance	$0	$4.3M
Embassy Home Care, LLC	MS	Nursing Care Agency	$0	$3.7M

Gary Bolton — Billing Profile & Reimbursement Data

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Gary Bolton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References