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

Why is the Medicaid comparison limited to Kansas 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. Kansas (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 Duncan (NPI 1225188873)

Field	Value
Entity Type	Individual
Organization	Brian Duncan
Address	800 Ravenhill Dr
City	Atchison
State	KS
ZIP	66002
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	January 12, 2007

Payer Source	Total Paid
Medicare	$115.5K
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
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	40	$910	$35.5K
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…	560	$60	$34.8K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	20	$910	$17.4K
99203	The provider sees a new 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 provider…	190	$70	$13.6K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	240	$50	$11.4K
J1040	Injection, methylprednisolone acetate, 80 mg	240	$10	$2.1K
20605	In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…	20	$40	$610
J2795	Injection, ropivacaine hydrochloride, 1 mg	730	$0	$0

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. Kansas Distribution

Brian Duncan — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	93	180	50	$630	$35.5K
27130	93	130	30	$640	$21.9K
99213	290	4,330	90	$50	$8.7K
20610	83	580	50	$40	$4.4K
99203	79	1,450	30	$60	$3.6K
20605	67	60	20	$40	$1.5K
J1040	20	130	30	$10	$530
J2795	1	10	630	$1	$190

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Regional Medical Center	MO	General Acute Care Hospital	$0	$57.1M
Heartland Regional Medical Center	MO	General Practice Physician	$0	$20.4M
Amberwell Atchison Association	KS	Rural Health Clinic/Center	$0	$6.4M
Hiawatha Hospital Association Inc	KS	Rural Health Clinic/Center	$0	$3.3M
Holy Family Medical Inc	KS	Federally Qualified Health Center (FQHC)	$0	$3.1M
Amberwell Atchison Association	KS	Critical Access Hospital	$0	$1.2M
Alvin Wyatt	CA	Diagnostic Radiology Physician	$1.1M	$0
Corey Krenz	MO	Family Nurse Practitioner	$491.4K	$0
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0
Blake Peterson	VA	Orthopaedic Surgery Physician	$412K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Achievement Services For Ne Kansas Inc	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10M
Atchison Community Health Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$2.9M
Achievement Services For Ne Kansas, Inc.	KS	Case Management Agency	$0	$742.3K
County Of Atchison	KS	Land Ambulance	$203.5K	$103.8K
Lisa Childress	KS	Surgical Physician Assistant	$247.3K	$0
Steven Sitek	KS	Podiatrist	$160K	$0
Amy Andrews	KS	Geriatric Physical Therapist	$136.2K	$0
Roderick Warren	KS	Surgery Physician	$105.1K	$0
Cory Schrick	KS	Medical Physician Assistant	$70.4K	$470
Lexy Rooney	KS	Physician Assistant	$46K	$0

Brian Duncan — Billing Profile & Reimbursement Data

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Brian Duncan — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References