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

Why is the Medicaid comparison limited to New York 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 York (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 Waldron (NPI 1093785651)

Field	Value
Entity Type	Individual
Organization	Brian Waldron
Address	61 Broadway
City	New York
State	NY
ZIP	10006
Taxonomy	Neuromusculoskeletal Medicine & OMM Physician
NPI Enumerated	January 25, 2006

Payer Source	Total Paid
Medicare	$124.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	710	$80	$55.4K
98929	The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.	740	$70	$54.3K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	100	$60	$5.8K
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…	50	$110	$4.8K
99204	The provider sees a new 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 provider…	30	$110	$3.1K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	30	$50	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Brian Waldron — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	21,399	30,450	90	$100	$19K
98929	2	40	110	$70	$12.8K
99213	1,313	31,440	80	$70	$12.1K
99204	7,336	14,170	30	$130	$6.6K
20553	79	370	50	$50	$4.4K
20552	147	260	30	$40	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coordinated Behavioral Care, Inc	NY	Case Management Agency	$0	$407.1M
Jisun Cha	NY	Dermatopathology Physician	$1.3M	$5.7K
Yevgeniy Sorokin	NY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$595.1K	$0
Jeanjacques Mbabuike	NY	General Practice Physician	$482.9K	$9.9K
Alexander Slotwiner	NY	Interventional Cardiology Physician	$169K	$96.8K
Alan Greenspan	NY	Dermatology Physician	$230K	$0
Jeffrey Goldstein	NY	Orthopaedic Surgery of the Spine Physician	$151.6K	$0
Cynthia Sommer	NY	Nurse Practitioner	$102.6K	$0
Mendel Markowitz	NY	Oral and Maxillofacial Surgery (Dentist)	$97.6K	$0
Eileen Janec	NY	Gastroenterology Physician	$73.2K	$0

Brian Waldron — Billing Profile & Reimbursement Data

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Brian Waldron — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References