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    OpenPayerNPI Medicare & MedicaidMatthew Brennan
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    Matthew Brennan — Billing Profile & Reimbursement Data

    NPI 1174799688 · Bay St Louis, MS · General Practice Physician

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    Matthew Brennan is a general practice physician provider located in Bay St Louis, Mississippi. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMatthew Brennan
    Address624 Highway 90
    CityBay St Louis
    StateMS
    ZIP39520
    TaxonomyGeneral Practice Physician
    NPI EnumeratedMay 5, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    MATTHEW BRENNAN is effectively a single-payer Medicare billing practice with Total Medicare revenue of $1.4M and no Medicaid billing on file; the absence of any Medicaid activity indicates payer mix is overwhelmingly Medicare-driven and Medicaid is not a meaningful revenue source.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 61.3% of this provider's total Medicare revenue, indicating most revenue is coming from a very narrow set of services rather than a broad portfolio.

    The top revenue-driving codes (99310, 11043, 11044) point to a mixed clinical model combining high-volume nursing facility E/M care and extensive surgical debridement procedures; 99310 (subsequent nursing facility visit) contributes $332.1K (24.3% of Medicare revenue) while 11043 and 11044 together contribute $320.4K and $185.1K respectively, reflecting both time-intensive E/M work and substantial wound/tissue debridement surgical activity.

    Competitive standing for several codes is extraordinarily high: the provider ranks in the 99th–100th percentile and is labeled an "extreme outlier" for 99310 (100th percentile, rank #17), 11043 (99th percentile, rank #13), 11044 (99th percentile, rank #8), and multiple additional debridement codes, signaling national-level volume dominance in these specific procedures well above typical peers.

    Operational implications: the combination of frequent nursing facility E/M codes (99310, 99309, 99306, etc.) with a cluster of debridement codes (11042–11047) suggests the practice likely focuses on wound care and long-term care facility visits, pairing bedside E/M management with on-site or procedure-based wound debridement services.

    Tenure: NPI enumerated ~2008-05-05 (about 18 years ago), indicating an established billing history and sustained presence in Medicare over nearly two decades, which supports the interpretation that current high volumes are not a short-term anomaly.

    Several debridement codes (11047 rank #6, 11046 rank #10, 11042 rank #158) are flagged as extreme outliers or far above typical national volume, reinforcing that the provider's procedural volume for tissue/bone debridement is unusually concentrated relative to national peers and is a distinctive competitive characteristic.

    While some nursing facility E/M codes show typical national volumes (99306 at the 83rd percentile; 99309 at the 96th percentile), the mix of both very high-volume and more typical-volume E/M codes suggests the provider sees a broad spectrum of acuity in facility-based visits, from low-to-high complexity, supporting a role as a major regional nursing-facility clinician for Medicare beneficiaries.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…2,890$120$332.1K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…2,070$160$320.4K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…810$230$185.1K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,860$80$149K
    11047The provider uses surgical instruments to remove dead, infected tissue from bone as well as the epidermis, dermis, and subcutaneous tissue, muscle, and/or fascia if needed. She performs this service…1,650$90$146.8K
    11046The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…1,950$50$105K
    11042The 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 cm2.1,020$60$63.2K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…160$140$21.5K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…660$30$19.1K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…180$100$18.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11047210240$90$67.6K
    1104422030$220$40.3K
    993093210100$70$20.9K
    1104315070$140$19.3K
    9931017080$100$19.1K
    11046120160$50$13.8K
    110424140120$60$13.5K
    99308208260110$50$13K
    9930667030$120$6.9K
    11045450140$20$4.6K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Timothy OnyiukeMDGeneral Practice Physician$2.1M$0
    Freemu VargheseTXNephrology Physician$2M$0
    Albert YoungCAGeneral Practice Physician$1.2M$0
    Emmanuel KuyinuTXGeneral Practice Physician$1.2M$0
    Adrian HarewoodPAGeneral Practice Physician$967.8K$3.3K
    Son HuynhCASurgical Physician Assistant$970.3K$0
    Lolita PalmerCASurgery Physician$892.2K$0
    Jason AguirreCAGeneral Practice Physician$874K$0
    Gerald SearleCAGeneral Practice Physician$717.2K$5.5K
    Bekele HaimanotCAMedical Physician Assistant$695.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ochsner Medical Center - Hancock LLCMSGeneral Acute Care Hospital$0$16.8M
    James RahaimMSOrthodontics and Dentofacial Orthopedics Dentistry$0$4.2M
    Covenant LaboratoriesMSClinical Medical Laboratory$3.6M$350.8K
    Ochsner Mississippi, LLCMSInternal Medicine Physician$0$3.2M
    J Austin Rahaim, Dmd, Ms, PAMSOrthodontics and Dentofacial Orthopedics Dentistry$0$2.6M
    Hancock Emergency Group LLCMSEmergency Medicine Physician$0$2M
    Coastal Family Health Center, IncMSFederally Qualified Health Center (FQHC)$0$1.5M
    Children's International, LLCMSPrimary Care Clinic/Center$0$1.4M
    Hancock Womens Center PAMSGynecology Physician$0$1.2M
    Matthew CapoMSPhysical Therapist$193.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    Matthew Brennan — 6 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi