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

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

Bryan G Sibley Md Apmc (NPI 1033211859)

Bryan G Sibley Md Apmc is a pediatrics physician provider located in Lafayette, Louisiana. This profile covers 0 Medicare and 63 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Bryan G Sibley Md Apmc
Address	1211 Coolidge Blvd
City	Lafayette
State	LA
ZIP	70503
Taxonomy	Pediatrics Physician
NPI Enumerated	September 2, 2006

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

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

63 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…	38,650	$70	$2.6M
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…	26,910	$50	$1.2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,190	$70	$414.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,300	$70	$349.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	19,160	$10	$249K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,310	$70	$241.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,950	$60	$232.9K
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,…	5,420	$30	$146.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	7,890	$20	$142K
99188	The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.	6,120	$20	$122.4K

Showing 1–10 of 63

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Bryan G Sibley Md Apmc — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	73	2,890	980	$40	$246.8K
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…	212	3,230	1,120	$30	$204.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	53	360	780	$50	$141.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	37	420	740	$50	$137.3K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	8	60	160	$120	$99.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	32	490	310	$50	$84.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	332	700	180	$60	$77K
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…	1,165	1,280	180	$50	$64.8K
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,…	172	1,460	440	$20	$64K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	43	490	170	$50	$62K

Showing 1–10 of 63

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$37.7M
Lafayette General Medical Center Inc	LA	General Acute Care Hospital	$0	$31.1M
New Day Personal Care Services	LA	In Home Supportive Care Agency	$0	$28.5M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$13.1M
Coolidge Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.1M
Pediatrust Acadiana, LLC	LA	Medically Fragile Infants and Children Day Care	$0	$8.6M
Critical Care Newborn Services	LA	Neonatal-Perinatal Medicine Physician	$0	$7.6M
New Day Personal Care Services	LA	In Home Supportive Care Agency	$0	$6.9M
A Blessing Personal Home Care	LA	In Home Supportive Care Agency	$0	$6.4M
Priority Medical Care Inc.	LA	Home Health Agency	$0	$6.2M

Bryan G Sibley Md Apmc — Billing Profile & Reimbursement Data

Sign up for Bryan G Sibley Md Apmc — Billing Profile & Reimbursement Data policy alerts

Bryan G Sibley Md Apmc — Billing Profile & Reimbursement Data

Sign up for Bryan G Sibley Md Apmc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References