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

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

Mark Brooks (NPI 1003807819)

Field	Value
Entity Type	Individual
Organization	Mark Brooks
Address	312 Jason Dr Ste 5
City	Richmond
State	KY
ZIP	40475
Taxonomy	Clinical Electrophysiology Physical Therapist
NPI Enumerated	November 1, 2005

Payer Source	Total Paid
Medicare	$22K
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
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	150	$70	$9.9K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	50	$180	$8.5K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	20	$120	$2.8K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	40	$20	$810

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. Kentucky Distribution

Mark Brooks — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95886	23	90	80	$60	$6.2K
95912	2	20	20	$160	$4K
95910	24	40	30	$110	$3.7K
97750	23	30	50	$20	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martha Seeley	KY	Family Medicine Physician	$24.7K	$777.3K
Ryan Malone	IN	Urology Physician	$784.5K	$0
Matthew Feltner	KY	Podiatrist	$633.9K	$0
Gary Wortz	KY	Ophthalmology Physician	$494.6K	$0
Christopher Smith	IN	Urology Physician	$426.4K	$0
Lora Sztendera	KY	Family Medicine Physician	$185.4K	$86.6K
Sanjiv Mehta	KY	Orthopaedic Surgery Physician	$262.9K	$0
Neal Prendergast	IN	Urology Physician	$256.2K	$0
John Cox	IN	Radiation Oncology Physician	$252.4K	$0
Warren Chumley	KY	Clinical Neurophysiology Physician	$183.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Health Management, Inc.	KY	Adult Day Care Clinic/Center	$0	$99.1M
Baptist Healthcare System, Inc.	KY	General Acute Care Hospital	$0	$58.5M
Fm Healing Center, LLC	KY	Addiction Medicine (Family Medicine) Physician	$0	$22M
Quality Care Case Management, LLC.	KY	Case Management Agency	$0	$17.5M
Nathaniel House, Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.4M
Ethan Health LLC	KY	Substance Abuse Rehabilitation Facility	$0	$13.1M
Combined Physicians Lab LLC	KY	Clinical Medical Laboratory	$428.1K	$7.4M
Center For Behavioral Health Kentucky LLC	KY	Methadone Clinic	$198.1K	$7.2M
Bluegrass Pediatric Therapies, LLC	KY	Speech-Language Pathologist	$0	$4.5M
Madison Pediatric Assoc	KY	Pediatrics Physician	$0	$3.9M

Mark Brooks — Billing Profile & Reimbursement Data

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Mark Brooks — 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