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

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

Toni Brightwell (NPI 1295854024)

Field	Value
Entity Type	Individual
Organization	Toni Brightwell
Address	7658a Belair Rd
City	Baltimore
State	MD
ZIP	21236
Taxonomy	Audiologist
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicare	$8.6K
Medicaid	$0

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
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	200	$30	$5.5K
92550	The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…	200	$20	$3.2K

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.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Toni Brightwell — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	71	250	140	$30	$4.6K
92550	4	70	60	$20	$1.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comprehensive Nursing Services, Inc	MD	Home Health Agency	$0	$46.6M
Hope's Horizon LLC	MD	Substance Abuse Rehabilitation Facility	$0	$21.6M
Aspire Wellness Center, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$21.4M
Leading By Example LLC.	MD	Community/Behavioral Health Agency	$0	$10.6M
Neb Doctors Of Maryland LLC	MD	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$6.7M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$6M
Advantage Psychiatric Services LLC	MD	Community/Behavioral Health Agency	$0	$6M
Leading By Example LLC	MD	Community/Behavioral Health Agency	$0	$5.4M
Preferred Home Care LLC	MD	Home Health Agency	$0	$5M

Toni Brightwell — Billing Profile & Reimbursement Data

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Toni Brightwell — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References