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

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

Cory Brown (NPI 1154662948)

Field	Value
Entity Type	Individual
Organization	Cory Brown
Address	1119 Highland Ave Ste 7
City	Clarkston
State	WA
ZIP	99403
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	March 5, 2013

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare biller: lifetime Medicare revenue is $1.5M while there is no Medicaid billing on file. The top three Medicare codes account for 95.1% of the provider’s Medicare revenue, indicating that Medicare procedures dominate the practice’s revenue mix.

Revenue is extremely concentrated in a single add‑on product code: Q4262 generates $1.4M (92.0% of Medicare revenue) across 1.4K claims with a $1019 avg paid/claim. Although Q4262 drives almost the entire dollar volume, that code’s national rank is #70 of 141 providers (51th percentile), which means the provider depends heavily on this code for revenue even though its national volume position among Q4262 billers is middling.

The procedural code mix points to a wound‑care and procedural podiatry focus. High‑revenue skin/substitute and wound codes — Q4262 and 15275 (176 claims, $112 avg paid/claim, $19.7K revenue) — together with debridement codes 97597 and 11042 and nail procedures such as 11721, indicate an operational emphasis on surgical foot/ankle care and use of skin substitutes for complex wounds.

Office E/M activity appears steady but is a small share of dollars: 99213 accounts for 477 claims, $58 avg paid/claim and $27.7K revenue (1.8% of Medicare revenue) and ranks #29397 of 457151 providers nationally (94th percentile). This suggests routine ambulatory follow‑up and management visits accompany the higher‑value procedural work rather than generating the bulk of practice revenue.

Competitive standing is mixed across codes: the provider is a strong relative user of skin substitute procedures (15275 ranks #60 of 888 providers, 93th percentile) and posts above‑typical E/M volume (99213 at the 94th percentile), yet for the dominant revenue code Q4262 the provider’s national position is only middle of the pack (51th percentile). In short, the practice is a niche, high‑revenue generator locally through Q4262 but not a nationally dominant Q4262 biller, while showing comparatively high activity on some wound care and E/M measures.

The provider has an established enrollment history, with NPI enumeration on 2013-03-05 (~13 years ago), indicating a stable multi‑year presence in the Medicare program. This tenure, combined with a concentrated code mix, suggests an operational model built around a specific set of procedural offerings.

From a business‑risk perspective, the practice’s dependence on a single add‑on code for 92.0% of Medicare revenue creates sensitivity to changes in product pricing, coverage, or utilization of that product. While many supporting codes are described as "typical, unremarkable" in national volume, the overall revenue concentration increases the provider’s exposure to reimbursement or policy shifts that affect Q4262 or skin substitute usage.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,390	$1,020	$1.4M
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…	480	$60	$27.7K
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…	180	$110	$19.7K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	290	$50	$14.1K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	480	$30	$13.6K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	150	$70	$10.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	90	$90	$8.4K
11057	The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	140	$60	$7.9K
99203	The provider sees a new 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 provider…	100	$60	$5.9K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	200	$20	$4.8K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Cory Brown — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	1	10	910	$900	$818.7K
99214	2,052	10,860	100	$80	$13.6K
15275	2	10	100	$100	$13.2K
11721	11	210	190	$30	$11.6K
11042	30	170	90	$70	$10.4K
11056	5	160	90	$60	$9.4K
99213	88	9,690	60	$60	$6.5K
99204	1,115	4,750	30	$110	$5.2K
11057	2	40	50	$70	$5.1K
11055	23	160	50	$50	$4.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-state Memorial Hospital	WA	Critical Access Hospital	$0	$14.5M
Gritman Medical Center Inc	ID	Critical Access Hospital	$0	$3.7M
Tri-state Memorial Hospital	WA	Critical Access Hospital	$0	$3.7M
Gritman Medical Center, Inc.	ID	Family Medicine Physician	$0	$1.4M
Vannvei LLC	ID	Multi-Specialty Clinic/Center	$0	$581.6K
Robert Spady	ID	Internal Medicine Physician	$293.8K	$0
Shoaib Ahmad	OK	Pulmonary Disease Physician	$276.1K	$0
Mark Harwood	WA	Clinical Cardiac Electrophysiology Physician	$259.5K	$0
Thomas Klein	WA	Clinical Cardiac Electrophysiology Physician	$247.4K	$0
Gerhard Muelheims	WA	Clinical Cardiac Electrophysiology Physician	$230.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$14.6M
City Of Clarkston	WA	Land Ambulance	$204.4K	$695.9K
Mark Eggleston	WA	Ophthalmology Physician	$396.4K	$0
Chad Bouterse	WA	Ophthalmology Physician	$345K	$0
Costco Wholesale Corporation	WA	Community/Retail Pharmacy	$323K	$0
Walter Williams	WA	Dermatology Physician	$268.7K	$0
Eye Care Specialists Ps	WA	Ambulatory Surgical Clinic/Center	$248K	$0
Bryan Beardsley	WA	Orthopaedic Surgery Physician	$157.1K	$0
Brooksie Larson	WA	Physical Therapist	$153.4K	$0
Carol Chandler	WA	Nurse Practitioner	$131.5K	$0

Cory Brown — Billing Profile & Reimbursement Data

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Cory 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