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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Justin Denny (NPI 1194352013)

Field	Value
Entity Type	Individual
Organization	Justin Denny
Address	Psc 836 Box 33
City	Fpo
State	AE (Armed Forces Europe)
ZIP	09636
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 23, 2020

Payer Source	Total Paid
Medicare	$6.8K
Medicaid	$0

Key Findings

This provider is an emergency medicine physician whose Medicare billing is concentrated in high-acuity and moderate-acuity emergency department evaluation-and-management visits, with the top codes being 99285 and 99284. The code descriptions indicate the practice delivers ED services requiring high and moderate levels of medical decision making, consistent with work in an emergency department or urgent care setting rather than outpatient primary care or procedural specialties.

Lifetime Medicare revenue on file is $6.8K while there is no Medicaid revenue on file, making this provider effectively single-payer in the dataset and dependent on Medicare as the sole reported public reimbursement source. The absence of Medicaid billing suggests the provider either does not serve Medicaid populations, bills Medicaid under a different NPI/entity, or has negligible Medicaid activity during the reporting period.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, with 99285 representing $4.9K (72.4% of Medicare revenue) and 99284 representing $1.9K (27.6% of Medicare revenue). This indicates almost all reported Medicare income comes from urgent-care/emergency department E/M visits rather than ancillary procedures or other service lines.

Volume and competitive standing for the top codes are modest nationally. For 99285 the provider ranks #49373 of 61347 (19th percentile), and for 99284 ranks #55346 of 64306 (13th percentile); both percentiles are described as typical or unremarkable volumes, which positions the provider as a modest participant rather than a high-volume or dominant national ED biller for these services.

Tenure: the provider NPI was enumerated on 2020-03-23 (~6 years ago), indicating roughly six years of enrollment in Medicare/Medicaid systems. The multi-year enrollment but low reported Medicare revenue suggests either limited clinical volume, part-time clinical activity, or billing under alternate taxonomies or group NPIs for much of their care.

Statistical standing of individual codes is unremarkable by the supplied labels: both 99285 and 99284 are characterized as typical, unremarkable volume for those codes. In plain terms, the provider’s billing pattern for these high- and moderate-acuity ED E/M codes falls within common national practice-level ranges rather than being a notable outlier.

Business implications: given the narrow CPT mix concentrated in ED E/M codes, the provider’s practice profile likely focuses on patient evaluation and management rather than procedures, imaging, or ambulatory follow-up services. Payer contracting or network decisions that privilege emergency care reimbursements will be most relevant to this provider’s revenue stream.

Operational risk/opportunity perspective: with essentially all Medicare revenue derived from two E/M codes, any changes in Medicare ED reimbursement, visit acuity mix at the facility, or shifts to alternative billing relationships could materially affect reported revenue. Conversely, the clear service-line focus could simplify negotiations or credentialing for emergency medicine roles where ED E/M skills are the primary requirement.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	40	$140	$4.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20	$90	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Justin Denny — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	6	10	80	$130	$17.4K
99284	7	10	90	$90	$6.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcleod Health Cheraw	SC	General Acute Care Hospital	$0	$6.8M
Alexander Bustamante	VA	Cardiovascular Disease Physician	$476K	$0
Anil Om	SC	Interventional Cardiology Physician	$474.6K	$0
Prabal Guha	SC	Clinical Cardiac Electrophysiology Physician	$451.9K	$0
Robert Elder	SC	Family Medicine Physician	$320.4K	$790
Cyrus Kocherla	SC	Clinical Cardiac Electrophysiology Physician	$313.8K	$0
Nicolette Naso	SC	Cardiovascular Disease Physician	$260.2K	$0
Ravi Parikh	SC	Interventional Cardiology Physician	$237K	$0
Guha Venkatraman	NJ	Neurology Physician	$230.9K	$0
Thomas Stoughton	SC	Cardiovascular Disease Physician	$230.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Frosolone	AE (Armed Forces Europe)	Surgery Physician	$64.9K	$0
Joshua Nassiri	AE (Armed Forces Europe)	Diagnostic Radiology Physician	$32.3K	$0
Anthony Biascan	AE (Armed Forces Europe)	Occupational Medicine Physician	$30.2K	$0
Stephanie Wallace	AE (Armed Forces Europe)	Certified Registered Nurse Anesthetist	$5.7K	$0
Ricky Varone	AE (Armed Forces Europe)	Medical Physician Assistant	$4K	$0

Justin Denny — 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