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.

Brock Medical, LLC (NPI 1023379815)

Key Findings

Field	Value
Entity Type	Organization
Organization	Brock Medical, LLC
Address	1752 Highway 192 W
City	London
State	KY
ZIP	40741
Taxonomy	Nurse Practitioner
NPI Enumerated	June 7, 2012

Payer Source	Total Paid
Medicaid	$63.5M
Medicare	$0

BROCK MEDICAL, LLC is effectively a Medicaid-centric operation: it has no Medicare billing on file and reports $63.5M in lifetime Medicaid revenue, making Medicaid the sole payer driving the provider's reported revenue stream. This single-payer concentration means the practice’s financial performance is tightly tied to Medicaid reimbursement and policy changes.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 78.4% of the provider’s total Medicaid revenue, with S9083 alone representing $34.3M (54.0% of Medicaid revenue). Such concentration indicates that a majority of income flows from a single service line and a couple of high-volume visit codes.

The code mix points to an urgent care and high-throughput outpatient model: S9083 (Global fee urgent care centers) is the largest revenue driver and is complemented by high volumes of office/EM visits (99214 and 99213). The prevalence of 99214 (186.9K claims, $8.6M) and 99213 (168.4K claims, $6.9M) alongside S9083 suggests the site operates with heavy walk-in or episodic visit throughput and manages large volumes of established-patient encounters.

Diagnostic testing and infectious-disease point-of-care services form a significant secondary service line: 87426 (244.9K claims, $4.9M; 7.7% of Medicaid revenue) ranks #1 in-state, and antigen tests 87804 (266.1K claims, $1.3M) and 87880 (166K claims, $830K) are also extremely high-volume. These patterns show the provider delivers mass respiratory and COVID-related testing in addition to urgent/primary care visits, likely supporting episodic visit demand and ancillary test revenue.

BROCK MEDICAL’s competitive standing in Kentucky is dominant for several codes: S9083 ranks #1 of 28 providers in-state (100th percentile; extreme outlier), 87426 ranks #1 of 396 (100th percentile; extreme outlier), and 99214 ranks #13 of 2462 (100th percentile; extreme outlier). Those rank positions indicate the provider is a major statewide volume leader for urgent care fees and COVID/respiratory testing, far above typical state volumes for these services.

Claim counts underscore exceptional throughput: S9083 shows 333K claims, 99214 has 186.9K claims, 99213 has 168.4K claims, and 87426 has 244.9K claims. That scale of encounters and tests for a Nurse Practitioner-taxonomy entity implies a high-volume operational model and substantial patient flow across the provider’s sites.

The provider has an established enrollment history — NPI enumerated 2012-06-07 (~14 years ago) — which supports the plausibility of cumulative volume and long-term scaling of the urgent care/testing model. Longevity combined with the concentrated revenue mix suggests the business has grown around stable Medicaid demand over many years.

Because 78.4% of Medicaid revenue is tied to the top three codes and more than half of revenue comes from S9083 alone, the practice is operationally and financially sensitive to shifts in Medicaid policy, reimbursement for urgent care global fees, and utilization trends for point-of-care testing. Payers and analysts monitoring contract negotiations or policy changes should treat this provider as highly exposed to code-level payment updates and utilization management for urgent-care and testing services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9083	Global fee urgent care centers	333,030	$100	$34.3M
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…	186,890	$50	$8.6M
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…	168,380	$40	$6.9M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	244,870	$20	$4.9M
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…	62,470	$50	$3.2M
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	266,050	$10	$1.3M
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…	18,510	$70	$1.3M
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	34,560	$40	$1.2M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	165,990	$10	$830K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	41,850	$10	$292.9K

Showing 1–10 of 54

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kentucky Distribution

Brock Medical, LLC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	1	30	40	$100	$1.2M
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…	29	3,340	1,020	$30	$296K
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…	13	2,460	580	$40	$245K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	140	330	1,400	$30	$156.7K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	79	170	590	$40	$84.8K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	222	250	1,080	$40	$82.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	3	210	230	$40	$79.7K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	144	180	940	$30	$75.5K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	202	200	720	$40	$71.9K
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…	7	1,020	120	$70	$62K

Showing 1–10 of 54

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dawn Kopp	IN	Family Nurse Practitioner	$130.6K	$0
Angela Majors	KY	Family Nurse Practitioner	$122.5K	$0
Callie Jervis	KY	Family Nurse Practitioner	$109K	$0
Amy Bolling	KY	Nurse Practitioner	$104.4K	$0
Brittany Tackett	KY	Family Nurse Practitioner	$99.2K	$0
Amy Miller	IL	Nurse Practitioner	$57.6K	$31.2K
Shannah Click	KY	Family Nurse Practitioner	$82.7K	$0
Susan Scuffle	KY	Family Nurse Practitioner	$75.6K	$0
Linda Crump	KY	Nurse Practitioner	$73.9K	$0
Tammy Johnson	KY	Family Nurse Practitioner	$71.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Joseph Health System, Inc	KY	Rural Acute Care Hospital	$0	$83.7M
Forever Care Dba Independent Opportunities	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$79M
Recover Together, Inc.	KY	Adult Mental Health Clinic/Center	$0	$36.6M
Pinnacle Treatment Centers Ky-i, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$33.5M
London Women's Care, LLC	KY	Obstetrics & Gynecology Physician	$0	$16M
Inspired Living	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12M
Rrj Solutions, LLC	KY	Community/Behavioral Health Agency	$0	$8.6M
Cherished Care LLC	KY	Internal Medicine Physician	$0	$7M
Fuse Medical	KY	Nurse Practitioner	$0	$7M
New Hope Counseling And Recovery	KY	Mental Health Counselor	$0	$6.9M

Brock Medical, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References