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

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

Brendan Barrett (NPI 1083145064)

Field	Value
Entity Type	Individual
Organization	Brendan Barrett
Address	770 Kapiolani Blvd Ste 705
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 22, 2017

Payer Source	Total Paid
Medicare	$2.6K
Medicaid	$0

Key Findings

This provider’s fee-for-service footprint is minimal in scale: total Medicare revenue on file is $2.6K while Medicaid shows none (no Medicaid billing on file), indicating the provider’s activity in the dataset is effectively single‑payer and limited in overall billed volume. Analysts should treat this profile as a small Medicare-only billing presence rather than a multi‑payer practice when modeling payer mix or network impact.

Revenue concentration is extreme within the recorded Medicare activity: the precomputed top 3 Medicare codes account for 100.0% of this provider’s total Medicare revenue. That concentration suggests nearly all billable Medicare activity is captured by a very narrow set of services rather than a diversified code mix.

The provider’s Medicare billing is driven entirely by high-acuity emergency department evaluation and management services: code 99285 appears on 18 claims with an average paid per claim of $145 and total Medicare revenue of $2.6K, and 99285 represents 100.0% of the recorded Medicare revenue. This code mix is consistent with practice as an Emergency Medicine Physician providing high‑complexity ED visits rather than routine office-based care.

Although 99285 is a high-acuity service, this provider’s national competitive standing on that code is modest: the record ranks #56494 of 61347 providers nationally (7th percentile; typical, unremarkable volume for this code). In plain terms, the provider is not a major national biller of 99285 and appears to operate at low-to-moderate volume relative to peers.

The absence of any Medicaid billing (none below — this provider has no Medicaid billing on file) means the provider has no observable Medicaid exposure in the dataset; payers and network managers should not assume Medicaid experience or cross‑coverage from this record. For health plan contracting or network adequacy assessments, this lack of Medicaid claims is a notable gap in demonstrating Medicaid-facing capacity.

Tenure is moderate: the NPI was enumerated on 2017-03-22 (~9 years ago), giving the provider several years of enrollment history but not a long-established career in the public claims data. Analysts can combine this enrollment horizon with the low revenue footprint to infer a limited Medicare-facing practice history in the table.

From a utilization and service-line perspective, the data indicate a focused emergency medicine role with low service diversification: a single high-complexity ED E/M code (99285) supplies 100.0% of recorded Medicare revenue, and volume is described as typical and unremarkable for that code. This pattern implies the provider likely works in episodic or shift-based ED settings rather than operating a broader ambulatory procedural or chronic‑care practice.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20	$150	$2.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Brendan Barrett — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	9	190	100	$130	$14.5K

Brendan Barrett — Billing Profile & Reimbursement Data

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Brendan Barrett — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References