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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Brunner
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    Mark Brunner — Billing Profile & Reimbursement Data

    NPI 1053386060 · Danville, KY · Gastroenterology Physician

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    Mark Brunner is a gastroenterology physician provider located in Danville, Kentucky. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Brunner
    Address212 S 2nd St
    CityDanville
    StateKY
    ZIP40422
    TaxonomyGastroenterology Physician
    NPI EnumeratedFebruary 22, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$37.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.80$70$5.5K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…40$130$4.4K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.40$80$3.5K
    43255An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.20$150$3.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$3.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$190$2.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$60$2.9K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…10$230$2.8K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…20$120$2.3K
    43270An esophagogastroduodenoscopy (EGD) is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope passed through the mouth. During the EGD, the provider passes guidewires…10$170$2.2K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538522025050$250$20.2K
    992321,9852,860100$60$11.6K
    4538018024040$140$9.4K
    4323911427060$90$7.4K
    43248253030$130$6.8K
    992229522,07030$90$4.5K
    9111081020$230$3.9K
    453782315020$150$3.6K
    9923168591040$40$3.1K
    43264233020$80$2.5K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spero Health Of Kentucky, LLCKYAddiction Medicine (Family Medicine) Physician$0$154.3M
    Ephraim Mcdowell Regional Medical Center IncorporatedKYGeneral Acute Care Hospital$0$60M
    Addixxion Recovery Of Kentucky, LLCKYAddiction Medicine (Family Medicine) Physician$0$16.6M
    G & R Staed, IncKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$12M
    D&s Residential Services, LPKYDevelopmental Disabilities Clinic/Center$0$9.8M
    Family Ties, LLCKYDevelopmentally Disabled Services Day Training Agency$0$8.7M
    Empact Midwest LLCKYEmergency Medicine Physician$0$7.3M
    A1 Case ManagementKYCase Management Agency$0$7.1M
    Danville Pediatrics And Primary Care, PLLCKYPediatrics Physician$0$5.9M
    Ekkco Inc.KYAdult Care Home Facility$0$5.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Mark Brunner — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky