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.

Matthew Brice (NPI 1306854732)

Field	Value
Entity Type	Individual
Organization	Matthew Brice
Address	Lrmc, Cmr 402
City	Apo
State	AE (Armed Forces Europe)
ZIP	09180
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicare	$60.1K
Medicaid	$0

Key Findings

This provider's lifetime Medicare revenue is $60.1K and there is no Medicaid billing on file, so the practice is effectively single‑payer in this dataset with Medicare representing the entire recorded public-payer footprint. The absence of any Medicaid claims should be considered when evaluating payer mix or market reach in stateside safety‑net populations.

Revenue is highly concentrated in three emergency/critical-care CPT codes: 99285 (55.3%), 99291 (26.6%), and 99284 (13.3%), and the precomputed top‑3 share is 95.2% of this provider's total Medicare revenue. That concentration indicates the provider's Medicare revenue stream is heavily dependent on high‑acuity emergency and critical‑care services rather than a broad set of outpatient or procedural codes.

Code-level volume and reimbursement support an emergency-medicine and critical-care operating profile: 99285 appears on 255 claims at $130 avg paid/claim, 99291 on 98 claims at $163 avg paid/claim, and 99284 on 91 claims at $88 avg paid/claim. These counts and average payments align with an ED physician who handles a mix of high‑acuity emergencies and episodic critical care rather than routine ambulatory care.

National competitive standing across the top Medicare codes is not extreme: 99285 ranks #9254 of 61347 providers (85th percentile), 99291 ranks #15295 of 71290 providers (78th percentile), and 99284 ranks #18735 of 64306 providers (70th percentile). Each of these ranks is labeled in the source as "typical, unremarkable volume for this code," which indicates the provider is a regular, non‑outlier participant nationally for these ED/critical‑care services rather than a dominant national provider.

There are no statistical outliers among the listed top codes: every top code is described as "typical, unremarkable volume," so the pattern is one of concentrated but conventionally scaled emergency and critical‑care billing rather than unusual coding behavior. This reduces the likelihood that the profile reflects exceptional specialty mix or atypical case‑selection within the Medicare claims observed.

Tenure is long enough to indicate an established NPI: the provider was enumerated on 2006-08-03 (~20 years ago). That duration of enrollment supports interpreting the observed billing as part of an ongoing clinical practice rather than a short‑term or newly established billing pattern.

Lower‑revenue ancillary codes show small contributions consistent with ED workflow: for example, 93010 appears on 228 claims at $6 avg paid/claim and contributes $1.4K (2.3% of Medicare revenue). These ancillary EKG interpretation payments are secondary to the primary ED/critical‑care revenue drivers and align with typical emergency department service mixes.

From a payer‑strategy perspective, the profile suggests limited Medicaid exposure and concentrated Medicare dependence: with $60.1K total Medicare revenue and no Medicaid billing, any payer contracting, risk‑adjustment, or population‑health strategies should account for the near‑exclusive Medicare revenue source and the operational focus on high‑acuity ED and critical‑care encounters.

Medicare: Complete Services Breakdown

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

5 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.	260	$130	$33.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	100	$160	$16K
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.	90	$90	$8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30	$50	$1.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	230	$10	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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

Matthew Brice — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	2	10	80	$130	$17.4K
99284	2	10	90	$90	$6.9K
99291	2	10	20	$170	$6.4K
99283	2	10	30	$50	$1.7K
93010	1	10	150	$10	$930

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travis County Emergency Physicians PA	TX	Emergency Medicine Physician	$0	$47.3M
Michael Glassinger	LA	Emergency Medicine Physician	$1.5M	$0
Laeeq Butt	VA	Internal Medicine Physician	$942.5K	$0
Mustafa Hindi	IL	Emergency Medicine Physician	$107.8K	$744.8K
Christopher Durham	TX	Vascular Surgery Physician	$495.7K	$0
Edward Lucas	FL	Emergency Medicine Physician	$165K	$257.3K
Jody Gerard	CT	Family Medicine Physician	$378.2K	$0
Stanley Joseph	FL	Physician Assistant	$374.6K	$0
Rajesh Shetty	TX	Pulmonary Disease Physician	$278.4K	$0
Shahab Hyder	TX	Internal Medicine Physician	$278.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jude Momodu	AE (Armed Forces Europe)	Family Medicine Physician	$42.8K	$86.6K
Steve Louvet	AE (Armed Forces Europe)	Emergency Medicine Physician	$11.6K	$40.3K
Katherine Cooper	AE (Armed Forces Europe)	Occupational Therapist	$48.9K	$0
Eric Dahl	AE (Armed Forces Europe)	General Practice Physician	$44.8K	$0
Michael Sanzari	AE (Armed Forces Europe)	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$43.9K
Washeema Jones	AE (Armed Forces Europe)	Acute Care Nurse Practitioner	$29.6K	$0
Gregory Phillips	AE (Armed Forces Europe)	Neurology Physician	$22.7K	$0
Nicole Fee	AE (Armed Forces Europe)	Optometrist	$15.4K	$3.5K
Carlina Madelaire	AE (Armed Forces Europe)	Anatomic Pathology & Clinical Pathology Physician	$12.6K	$0
Chelsey Koehler	AE (Armed Forces Europe)	Physical Therapist	$10.9K	$0

Matthew Brice — Billing Profile & Reimbursement Data

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Matthew Brice — 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