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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBarry Brown
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    Barry Brown — Billing Profile & Reimbursement Data

    NPI 1184628737 · Low Moor, VA · Internal Medicine Physician

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    Barry Brown is a internal medicine physician provider located in Low Moor, Virginia. This profile covers 23 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBarry Brown
    Address200 Arh Lane
    CityLow Moor
    StateVA
    ZIP24457
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 10, 2005

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

    Payer SourceTotal Paid
    Medicare$381.6K
    Medicaid$420

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…1,890$60$113.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit700$130$88.3K
    99214The 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…1,010$80$79.9K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…370$80$27.9K
    99496The 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…120$210$25.6K
    G0008Administration of influenza virus vaccine410$30$12.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.890$10$5.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.580$10$4.6K
    93793The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…530$10$4.2K
    93288In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…100$40$3.4K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921444012,890140$80$21K
    G043982,96080$120$14.7K
    992132812,44090$60$10K
    90694521,48070$70$8.1K
    99496856020$190$5.1K
    G043838851020$160$4K
    992032,6554,92030$70$3.8K
    9949526460020$140$3.6K
    G00081023,49070$30$3.1K
    364153462,620120$10$3K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…20$30$420

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…3,7554,010290$50$199.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nizar EskandarGANephrology Physician$899.7K$0
    Jeffrey GarlandVAInternal Medicine Physician$196.4K$420
    Hassan HonainyVANephrology Physician$141.5K$0
    Joe PackVAOrthopaedic Surgery Physician$139.2K$0
    Richard ShorterWVFamily Medicine Physician$119.9K$0
    Heather RatliffWVNephrology Physician$87.7K$0
    Susan DavisVAFamily Nurse Practitioner$43.1K$0
    Leann MeredithVAFamily Nurse Practitioner$41.3K$0
    Jaclyn AdkinsWVPhysician Assistant$38.7K$0
    Crystal PoffVAFamily Nurse Practitioner$33.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbia-alleghany Regional Hospital IncVAGeneral Acute Care Hospital$0$9.8M
    Holly HallVACertified Registered Nurse Anesthetist$95.2K$0
    Brett SiebenkittelVAPhysical Therapist$74.1K$0
    Corey WeidmanVAPhysician Assistant$60.7K$0
    Paul StrausbaughVAOtolaryngology Physician$41.7K$3.5K

    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. Virginia Distribution
    Barry Brown — 7 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Barry Brown — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia