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

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

Brian Kephart (NPI 1093709099)

Field	Value
Entity Type	Individual
Organization	Brian Kephart
Address	250 Cetronia Road
City	Allentown
State	PA
ZIP	18104
Taxonomy	Physician Assistant
NPI Enumerated	September 6, 2005

Payer Source	Total Paid
Medicare	$3.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	20	$110	$2.6K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	20	$20	$410
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	30	$20	$390

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Brian Kephart — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29827	31	120	20	$970	$19.4K
29823	10	60	20	$230	$4.4K
29826	16	90	20	$100	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Pollice	PA	Orthopaedic Surgery Physician	$489.2K	$0
Gregor Hawk	PA	Orthopaedic Surgery Physician	$369.2K	$0
Michael Krafczyk	PA	Sports Medicine (Family Medicine) Physician	$339.9K	$0
Jay Talsania	PA	Orthopaedic Hand Surgery Physician	$306.4K	$0
Kevin Anbari	PA	Adult Reconstructive Orthopaedic Surgery Physician	$293.6K	$0
Laura Dunne	PA	Sports Medicine (Family Medicine) Physician	$281.6K	$0
Jill Crosson	PA	Sports Medicine (Family Medicine) Physician	$278.8K	$0
Robert Wertz	PA	Pain Medicine (Anesthesiology) Physician	$270.1K	$0
Frederick Hartker	FL	Diagnostic Radiology Physician	$243.8K	$0
Eric Yuschak	PA	Sports Medicine (Family Medicine) Physician	$228K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Luke's Hospital	PA	General Acute Care Hospital	$0	$23.4M
Loving Care Agency, Inc.	PA	Home Health Agency	$0	$21.2M
The Salvation Army	PA	Nursing Care Agency	$0	$17.9M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$16M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$11.9M
Pyramid Healthcare Inc.	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11M
Horizon House, Inc.	PA	Community/Behavioral Health Agency	$0	$8.2M
Lehigh Valley Physician Group	PA	Pediatrics Physician	$0	$7.6M
Cetronia Ambulance Corps, Inc	PA	Land Ambulance	$1.7M	$4.3M
Alan Listhaus	PA	Ophthalmology Physician	$2.6M	$0

Brian Kephart — Billing Profile & Reimbursement Data

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Brian Kephart — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References