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.

Scott Bralow (NPI 1174586358)

Field	Value
Entity Type	Individual
Organization	Scott Bralow
Address	301 City Ave
City	Bala Cynwyd
State	PA
ZIP	19004
Taxonomy	Nephrology Physician
NPI Enumerated	April 10, 2006

Payer Source	Total Paid
Medicare	$113K
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
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	310	$240	$75.1K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	60	$290	$17.1K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	50	$240	$12.7K
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…	60	$90	$5.8K
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…	30	$60	$1.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$20	$290
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$250
90970	The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…	20	$10	$190

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. Pennsylvania Distribution

Scott Bralow — 1 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	260	300	130	$280	$42.3K
90966	1	80	60	$230	$17.3K
99214	14,759	23,230	100	$80	$14.5K
90961	71	230	40	$230	$11K
99213	17,342	22,370	70	$60	$7.7K
36415	1,729	2,340	80	$10	$3.2K
90970	31	30	380	$10	$2.7K
99211	428	570	30	$20	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (pa), LLC	PA	Home Health Agency	$0	$104.4M
Preferred Home Health Care & Nursing Services Inc	PA	Home Health Agency	$0	$30.8M
365 Health Services LLC	PA	Home Health Agency	$0	$26.7M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$21.8M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$17.8M
Behavior Analysis & Therapy Partners	PA	Psychologist	$0	$9.8M
Clinical Care Associates Of The University Of Pennsylvania Health Syst	PA	Hospitalist Physician	$0	$9.4M
Presbyterian Medical Center Of The University Of Pennsylvania Health S	PA	Home Health Agency	$0	$6.5M
Main Line Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$4.7M	$57.7K
Carolyn Glazer-hockstein	PA	Ophthalmology Physician	$1.8M	$0

Scott Bralow — Billing Profile & Reimbursement Data

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Scott Bralow — 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