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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Joshua Brown (NPI 1083626519)

Field	Value
Entity Type	Individual
Organization	Joshua Brown
Address	4200 Beckner Rd
City	Santa Fe
State	NM
ZIP	87507
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 13, 2006

Payer Source	Total Paid
Medicare	$856.7K
Medicaid	$0

Key Findings

This provider’s book of business is effectively single‑payer Medicare: lifetime Medicare revenue is reported as $856.7K while there is no Medicaid billing on file. The top three Medicare codes — 87798 ($141.6K, 18.8%), G0439 ($88.6K, 11.8%), and 99213 ($86K, 11.4%) — together account for 42.1% of Medicare revenue, indicating concentrated revenue drivers within the Medicare population.

The code mix points to a hybrid primary‑care and diagnostic/testing operation: high-volume evaluation-and-management codes (99213, 99214, 99212, 99211) and a very large count of annual wellness visits (G0439) sit alongside numerous amplified nucleic acid probe lab codes (87798, 87635, 87634, 87801, 87641, 87640). This combination suggests the practice bills both routine outpatient visits and frequent on-site or affiliated lab testing rather than being a narrow specialty clinic.

Preventive care and E/M services are outsized relative to national peers: G0439 ranks #131 of 105855 providers nationally (100th percentile; extreme outlier) and 99213 ranks #2605 of 457151 (99th percentile; extreme outlier), while 99211 and 99212 also fall in high percentiles (99th and 98th, respectively; notably above typical national volume). These placements indicate the provider delivers annual wellness and high-volume established‑patient visits at levels far above typical national practice patterns.

Laboratory testing is a meaningful revenue contributor but shows mixed competitive standing: 87798 is the single largest Medicare line at $141.6K (18.8% of Medicare revenue) and ranks #249 of 1319 (81th percentile; typical volume), while COVID and other NAAT codes such as 87635 and 87634 appear with notable percentile placements (87635 at the 97th percentile and 87634 at the 92th percentile). In short, the practice generates substantial lab-based revenue overall, with some infectious-disease testing lines performing well versus peers.

Remote physiologic monitoring (99457, 99458, 99454) is a distinct revenue stream for this provider: 99457 ($32.8K, 93th percentile), 99458 ($26.4K, 91th percentile), and 99454 ($21.6K, 89th percentile) together contribute a material portion of Medicare revenue. The presence of these codes at relatively high national percentiles suggests an established RPM program and ongoing chronic care management infrastructure rather than sporadic, one-off use.

The practice shows capability in cardiopulmonary and procedural outpatient services beyond basic primary care: G0166 (external counterpulsation) generated $32K, 93306 (echocardiography) $17.8K, and 93925 (vascular duplex) $8.9K. These technical/diagnostic lines indicate the provider bills for multi‑modal outpatient procedures and diagnostics in addition to E/M and lab services.

Absence of Medicaid billing on file implies limited or no direct Medicaid revenue exposure and a payer mix heavily skewed to Medicare; this will materially affect contracting dynamics, population served, and revenue sensitivity to Medicare policy changes. Analysts seeking in-state Medicaid volume or utilization patterns should note there is no Medicaid data to evaluate for this NPI.

The provider’s NPI was enumerated on 2006-08-13 (~20 years ago), indicating long tenure in Medicare files. That longevity is consistent with an established patient panel and may help explain sustained high volumes of annual wellness visits and low-to-mid level E/M encounters over time.

Medicare: Complete Services Breakdown

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

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	4,170	$30	$141.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	710	$130	$88.6K
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…	1,410	$60	$86K
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…	770	$90	$68.4K
87150	The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…	1,040	$30	$35.5K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	910	$40	$32.8K
G0166	External counterpulsation, per treatment session	430	$70	$32K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	880	$30	$26.4K
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	330	$70	$22.9K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	600	$40	$21.6K

Showing 1–10 of 65

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Joshua Brown — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

65 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87150	1	10	1,040	$30	$35.9K
87798	1	10	350	$30	$34.2K
G0166	1	10	430	$70	$32.1K
95165	19	20	1,440	$10	$22.1K
G3002	3	10	60	$60	$19.2K
93306	64	90	190	$60	$15.9K
87801	2	10	90	$70	$15.5K
99214	76	2,700	90	$70	$12.9K
87634	1	10	190	$70	$12.8K
G0439	1	490	50	$120	$9.7K

Showing 1–10 of 65

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Blakeburn	NM	Family Medicine Physician	$264.9K	$0
Mark Seredowych	NM	Internal Medicine Physician	$136K	$840
William Bacon	NM	Medical Physician Assistant	$104.4K	$0
Josiah Child	NM	Internal Medicine Physician	$88.5K	$0
Warren Goldenberg	NM	Family Nurse Practitioner	$81.3K	$0
James Dowling	NM	Psychologist	$29.1K	$0
Marianne Gibbs	NM	Registered Dietitian	$9.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Santa Fe Recovery Center Inc	NM	Substance Abuse Rehabilitation Facility	$0	$22M
Presbyterian Healthcare Services	NM	General Acute Care Hospital	$0	$21.6M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$16.4M
Los Amigos, LLC	NM	Case Management Agency	$0	$12.9M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$11.5M
Teambuilders Behavioral Health, LLC	NM	Community/Behavioral Health Agency	$0	$9.5M
Aspen Medical Group LLC	NM	Urgent Care Clinic/Center	$0	$6.4M
New Vistas	NM	Developmentally Disabled Services Day Training Agency	$0	$6.3M
La Familia Medical Center	NM	Federally Qualified Health Center (FQHC)	$0	$4.7M
St. Vincent Hospital	NM	Pediatrics Physician	$0	$4.7M

Joshua Brown — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References