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    OpenPayerNPI Medicare & MedicaidJohn Brown
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    John Brown — Billing Profile & Reimbursement Data

    NPI 1306887088 · Sun City West, AZ · Sports Medicine (Orthopaedic Surgery) Physician

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    John Brown is a sports medicine (orthopaedic surgery) physician provider located in Sun City West, Arizona. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Brown
    Address14520 W Granite Valley Dr
    CitySun City West
    StateAZ
    ZIP85375
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedJune 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$292K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…120$1,130$132.2K
    99213The 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…520$60$32.5K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…250$90$23K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…30$830$22.4K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…30$550$16.5K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.550$30$13.8K
    20610In 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$11.7K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…30$350$11.6K
    29826The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…60$130$7.3K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…30$230$6.6K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    298272810020$1,020$25.4K
    23472211020$720$21K
    J732961701,740$10$20.7K
    992143,09410,410120$80$20.6K
    2982813020$1,010$17.1K
    992136419,60080$60$9.6K
    29824114020$320$9.4K
    992044,6155,79040$110$6.7K
    2061011195060$50$5.4K
    2982365020$210$4.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Orthopedic Research And Education, LLCAZOrthopaedic Surgery Physician$0$36.4M
    Stephen DesouzaAZRetina Specialist (Ophthalmology) Physician$2.5M$0
    Rima PatelAZRetina Specialist (Ophthalmology) Physician$1.8M$0
    Kelly KrohnAZInternal Medicine Physician$926.3K$0
    Morris HamburgAZAdult Health Nurse Practitioner$913K$0
    Jonathan MarshallNYDiagnostic Radiology Physician$761.9K$4.4K
    Loan RamseyAZOphthalmology Physician$706.2K$0
    Paul SousaAZAdult Reconstructive Orthopaedic Surgery Physician$529.3K$0
    Chad CheringtonAZHematology & Oncology Physician$526K$0
    Damon AdamanyAZOrthopaedic Hand Surgery Physician$466.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner Del E Webb Medical CenterAZGeneral Acute Care Hospital$0$30.8M
    Brea Emeritus LLCAZAlzheimer Center (Dementia Center)$0$10.7M
    Abc Children's Eye Specialists PCAZEyewear Supplier$0$7.1M
    North County Fire & Medical DistrictAZLand Ambulance$889.2K$3M
    Banner Sun City West Surgery Center LLCAZAmbulatory Surgical Clinic/Center$2.8M$335.6K
    Mitchell GiangobbeAZSurgery Physician$869.2K$0
    Tarpan PatelAZInterventional Cardiology Physician$714.5K$17.7K
    Katharine Bermingham CordovaAZMOHS-Micrographic Surgery Physician$700.9K$0
    Arizona Eye Institute & Cosmetic Laser Center LLCAZAmbulatory Surgical Clinic/Center$684.3K$0
    Mandi ConwayAZRetina Specialist (Ophthalmology) Physician$683.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    John Brown — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona