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

Why is the Medicaid comparison limited to California 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. California (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.

Bryna Florence (NPI 1245471853)

Field	Value
Entity Type	Individual
Organization	Bryna Florence
Address	6645 Alvarado Rd
City	San Diego
State	CA
ZIP	92120
Taxonomy	Medical Physician Assistant
NPI Enumerated	March 11, 2009

Payer Source	Total Paid
Medicare	$8.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
63030	This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…	20	$130	$2.9K
62145	The provider surgically corrects a skull defect. At the same session he repairs brain tissue.	20	$90	$1.8K
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	30	$40	$1.3K
63710	The provider uses a dural graft during a separately reportable procedure to close an opening in the dura, the tough outer membrane surrounding the central nervous system.	20	$60	$1K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	10	$80	$900
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	10	$20	$260

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Bryna Florence — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	64	90	20	$10,260	$225.6K
63030	26	50	20	$850	$20.3K
22614	190	230	50	$230	$19.4K
22842	204	220	20	$450	$9K
63710	4	10	20	$400	$8.8K
62145	2	10	20	$430	$8.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeannine Shively	CA	Physician Assistant	$250K	$0
Monica Perlman	CA	Internal Medicine Physician	$239.5K	$0
Kaitlyn Kamp	CA	Family Nurse Practitioner	$101.3K	$0
Gourab Das	CA	Physician Assistant	$82.6K	$0
Stephanie Kirwin	CA	Physician Assistant	$71.8K	$0
William Keen Jr.	CA	Cardiovascular Disease Physician	$56.5K	$0
Joyce Atkins	CA	Registered Dietitian	$46.3K	$0
Kelly Snowden	CA	Physician Assistant	$33.7K	$0
Faith Robichaud	CA	Family Medicine Physician	$7.2K	$0
Joshua Davidson	CA	Allergy & Immunology Physician	$6.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$42.8M
Nicholas Bai	CA	Physician Assistant	$6M	$0
Bernard Michlin	CA	Internal Medicine Physician	$1.1M	$363K
Fred Shahan	CA	Dermatology Physician	$1.3M	$0
Oleg Gavrilyuk	CA	Physical Medicine & Rehabilitation Physician	$366.1K	$1K
Scott Leary	CA	Neurological Surgery Physician	$282.4K	$0
James Bates	CA	Orthopaedic Surgery Physician	$155.2K	$0
Herman Skorobogaty	CA	Surgery Physician	$110.4K	$0
Larry Emdur	CA	Pulmonary Disease Physician	$63.7K	$0
William Lo	CA	Anesthesiology Physician	$59.6K	$0

Bryna Florence — Billing Profile & Reimbursement Data

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Bryna Florence — 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