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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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 Caswell-monack (NPI 1164733291)

Field	Value
Entity Type	Individual
Organization	Brian Caswell-monack
Address	20251 John J Williams Hwy
City	Lewes
State	DE
ZIP	19958
Taxonomy	Family Medicine Physician
NPI Enumerated	June 23, 2010

Payer Source	Total Paid
Medicare	$142.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	460	$130	$58.6K
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…	540	$80	$44.6K
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…	350	$60	$21.2K
G0444	Annual depression screening, 5 to 15 minutes	450	$20	$8.2K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	30	$160	$5.2K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	20	$220	$4.8K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	50	$10	$460
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	10	$1	$40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Brian Caswell-monack — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	300	1,830	150	$80	$25.5K
G0439	23	490	90	$120	$17.2K
99213	324	1,810	120	$60	$13.6K
99496	58	110	20	$200	$5.8K
99495	33	180	20	$130	$3.5K
93000	145	340	40	$10	$2.5K
G0444	5	120	80	$20	$2.4K
96127	79	90	40	$1	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-atlantic Family Practice	DE	Family Medicine Physician	$0	$453.4K
Catherine Deluca	DE	Family Medicine Physician	$214.4K	$0
Daryl Sharman	DE	Family Medicine Physician	$208.6K	$0
Tyler Bates	DE	Family Medicine Physician	$192.9K	$0
Helen Merrick	DE	Family Nurse Practitioner	$104.2K	$0
Carmelo Disalvo	DE	Family Medicine Physician	$92.5K	$0
Jeffrey Heckert	DE	Family Medicine Physician	$85.2K	$0
Sarah Stamm	DE	Physician Assistant	$82.4K	$0
Kelly Goodenough	DE	Physician Assistant	$72.1K	$0
Erin Lavin	DE	Family Medicine Physician	$69.5K	$0

Brian Caswell-monack — Billing Profile & Reimbursement Data

Sign up for Brian Caswell-monack — Billing Profile & Reimbursement Data policy alerts

Brian Caswell-monack — Billing Profile & Reimbursement Data

Sign up for Brian Caswell-monack — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References