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.

Thomas Herring (NPI 1972814424)

Field	Value
Entity Type	Individual
Organization	Thomas Herring
Address	4752 Michelle St
City	Valdosta
State	GA
ZIP	31605
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	June 30, 2010

Payer Source	Total Paid
Medicare	$5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	30	$70	$2.1K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$60	$1.4K
00912	The provider performs anesthesia services for a patient undergoing excision of one or more tumors within the bladder performed through the urethra, which is the opening for the outflow of urine.	10	$70	$870
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	10	$50	$600

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Thomas Herring — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00811	433	990	20	$70	$2.8K
00731	353	1,340	20	$70	$2K
00910	181	240	20	$60	$1.5K
00912	6	20	10	$100	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travis Bailey	GA	Pain Medicine Physician	$217.9K	$0
Wiley Drury	GA	Anesthesiology Physician	$123K	$0
William Babcock	GA	Anesthesiology Physician	$20.3K	$0
James Warren	GA	Anesthesiology Physician	$17.8K	$0
Jennifer Pritchett	GA	Anesthesiology Physician	$14.6K	$0
Michael Parimucha	FL	Anesthesiology Physician	$13.3K	$0
Eric Hamilton	GA	Anesthesiology Physician	$11.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Georgia Toxicology, Inc	GA	Clinical Medical Laboratory	$2.2M	$2.8M
Hardy Gray	GA	Dentist	$0	$2M
Patrick Parker	GA	Urology Physician	$783.5K	$0
Gregory Martin	GA	Surgery Physician	$517K	$0
Jarod Bailey	GA	Internal Medicine Physician	$373.1K	$0
Charles Parramore	GA	Mental Health Counselor	$0	$370.1K
Cindy Mathis	GA	Professional Counselor	$0	$294.4K
Alford Brady	GA	Internal Medicine Physician	$276.9K	$0
Jonathan Underwood	GA	Internal Medicine Physician	$266.4K	$0
Urological Clinic Of Valdosta Ambulatory Surgical Center, LLC	GA	Ambulatory Surgical Clinic/Center	$260.7K	$0

Thomas Herring — Billing Profile & Reimbursement Data

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Thomas Herring — 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