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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Bradley Hoffman (NPI 1093166076)

Field	Value
Entity Type	Individual
Organization	Bradley Hoffman
Address	401 Rogers St
City	Princeton
State	WV
ZIP	24740
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	June 30, 2016

Payer Source	Total Paid
Medicare	$4.9M
Medicaid	$0

Key Findings

This provider bills almost exclusively to Medicare with total Medicare revenue of $4.9M and no Medicaid billing on file; the absence of Medicaid activity makes the practice effectively single-payer from a public-program perspective. The NPI was enumerated 2016-06-30 (~10 years ago), indicating roughly a decade of participation in Medicare billing and an established presence in the Medicare data set.

Revenue is highly concentrated in a small set of skin-substitute and wound-care product codes: Q4253 ($1.8M, 36.1%), Q4164 ($1.5M, 31.5%), and Q4197 ($829.8K, 16.9%). Together these top three codes account for 84.4% of the provider's Medicare revenue, signaling that a handful of high-value add-on products dominate the billing profile.

The code mix (Q4253, Q4164, Q4197, plus 15275) points to a service line focused on surgical wound care and skin-substitute applications rather than routine office-based podiatry: Q-codes for amniotic membrane and other skin substitutes and the skin-substitute surgical code 15275 are the primary revenue drivers. Low revenue contribution from common E/M codes (for example 99213: $9.8K, 0.2%; 99214: $8.4K, 0.2%) reinforces that revenue is procedure- and product-driven rather than visit-volume-driven.

Competitive standing varies by product: Q4197 ranks #4 of 82 providers nationally (96th percentile; notably above typical national volume), making the provider a high-volume national reporter for that product. By contrast, Q4253 ranks #19 of 73 (75th percentile; typical, unremarkable volume) and Q4164 ranks #4 of 7 (50th percentile; typical, unremarkable volume), indicating strong positioning on at least one product but more typical volume on the others.

The provider is an outlier on one surgical skin-substitute code: 15275 reports $55.3K (1.1% of Medicare revenue) and ranks #9 of 888 providers nationally (99th percentile; extreme outlier). Although 15275 contributes a small share of total dollars, the rank indicates unusually high relative use of that specific skin-substitute surgical code compared with peers.

Clinical intensity per claim appears elevated because several high-revenue items are high-cost per-claim products (for example Q4164 avg paid/claim $1049 and Q4253 avg paid/claim $480), which suggests revenue growth is driven by product selection and utilization rather than high volumes of low-revenue office visits. This pattern creates a dependence on coverage and pricing for those specific products.

Given the single-payer concentration (Medicare-only activity on file) and narrow set of revenue drivers, the provider faces payer-specific exposure: changes in Medicare coverage policy, reimbursement, or utilization management for Q-codes or skin substitutes could materially affect overall revenue. The practice’s roughly ~10-year Medicare tenure means these patterns reflect established billing behavior rather than a short-term spike.

Aside from the dominant Q-code products, the remaining CPT mix shows typical, modest national-level activity across common podiatry procedures and E/M services (examples include 11721, 11720, 11750 and imaging 73630), indicating the practice maintains a baseline of general podiatric care beneath its concentrated wound-care product strategy.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	3,700	$480	$1.8M
Q4164	Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)	1,480	$1,050	$1.5M
Q4197	Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)	6,150	$140	$829.8K
Q4194	Novachor, per square centimeter (add-on, list separately in addition to primary procedure)	810	$810	$650.4K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	510	$110	$55.3K
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…	160	$60	$9.8K
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…	100	$90	$8.4K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	260	$30	$7.3K
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,…	170	$40	$6.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$140	$5.1K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Bradley Hoffman — 2 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4253	2	10	3,970	$620	$2.5M
Q4164	1	10	1,480	$1,050	$1.5M
Q4197	2	10	4,340	$130	$580.5K
Q4194	2	10	810	$810	$531.5K
15275	1	10	90	$110	$20.3K
99214	1,376	2,740	100	$70	$11.8K
99233	636	660	60	$90	$11.4K
11721	27	60	240	$30	$9.6K
99223	346	780	30	$130	$7.9K
99213	806	2,860	80	$50	$7.5K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Foot And Ankle Clinic Of The Virginias Inc	WV	Podiatrist	$0	$5.5M
Carrie Frame	WV	Foot & Ankle Surgery Podiatrist	$1.7M	$0
Alison Poole	WV	Physician Assistant	$584.9K	$0
Katlin Lindsey	WV	Physician Assistant	$309.8K	$0
Joseph Protain	OH	Vascular Surgery Physician	$268.5K	$0
Seth Craft	MI	Foot & Ankle Surgery Podiatrist	$239.3K	$0
Mark Wilt	WV	Foot & Ankle Surgery Podiatrist	$116.5K	$0
James Chianese	WV	Foot & Ankle Surgery Podiatrist	$94K	$0
Marshal Gwynn	WV	Podiatrist	$91.9K	$0
Martin Mrozek	WV	Primary Podiatric Medicine Podiatrist	$90.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Voca Corporation Of West Virginia, Inc.	WV	Developmental Disabilities Clinic/Center	$0	$178.3M
Southern Highlands Community Mental Health Center, Inc.	WV	Community/Behavioral Health Agency	$0	$44.2M
Princeton Community Hospital Assn., Inc.	WV	General Acute Care Hospital	$0	$41M
Southern Highlands Community Mental Health Center, Inc.	WV	Counselor	$0	$22M
Princeton Community Hospital Assn Inc.	WV	Urology Physician	$0	$15.4M
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$12.1M
Princeton Rescue Squad Inc	WV	Land Ambulance	$1.1M	$10.4M
Beautiful Minds Counseling Center	WV	Mental Health Counselor	$0	$4.1M
Bluefield Gastroenterology PLLC	WV	Specialist	$0	$4M
Inas Al-attar	WV	Pediatric Infectious Diseases Physician	$0	$3.9M

Bradley Hoffman — 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