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

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

Roy Brabham (NPI 1316283286)

Field	Value
Entity Type	Individual
Organization	Roy Brabham
Address	3600 Florida Blvd
City	Baton Rouge
State	LA
ZIP	70806
Taxonomy	Plastic Surgery Physician
NPI Enumerated	December 21, 2012

Payer Source	Total Paid
Medicare	$31.6K
Medicaid	$0

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
99183	In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…	310	$80	$26.1K
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…	50	$40	$2.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	40	$40	$1.4K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	40	$30	$1.1K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	20	$40	$660

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.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Roy Brabham — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99183	2	20	110	$80	$11K
11042	157	200	80	$60	$10.2K
99213	3,485	6,060	70	$50	$8.1K
G0179	159	320	40	$30	$1.3K
G0180	299	490	20	$40	$1000

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blandon Sorrell	LA	Family Nurse Practitioner	$6.2M	$0
Wound Care Associates LLC	LA	Specialist	$0	$5.6M
Shanda Jackson	LA	Family Nurse Practitioner	$4M	$0
Stephen Price	LA	Physician Assistant	$3.4M	$0
Jared Smith	LA	Family Nurse Practitioner	$2.6M	$0
Lakisher Morgan	LA	Family Nurse Practitioner	$2M	$0
Tara Sykes	MS	Family Nurse Practitioner	$1.6M	$0
Gavin Mayo	MS	Family Nurse Practitioner	$1.5M	$0
Stefanie Corley	LA	Family Nurse Practitioner	$1.2M	$0
Amie Wilson	LA	Family Nurse Practitioner	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Services Of Louisiana, L.L.C.	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$41.1M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$23.8M
Capitol City Family Health Center Incorporated	LA	Federally Qualified Health Center (FQHC)	$0	$21.6M
P & L Medical Service	LA	Home Health Agency	$0	$16.5M
Independent Living Inc	LA	Home Health Agency	$0	$15.3M
Association For Retarded Citizens Baton Rouge	LA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.5M
Louisiana Health & Rehabilitation Coptions	LA	Intellectual & Developmental Disabilities Psychologist	$0	$13.6M
Hiv-aids Alliance For Region Two	LA	Federally Qualified Health Center (FQHC)	$0	$12.7M
One Life Health Care, LLC	LA	Community Based Hospice Care Agency	$0	$12.1M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M

Roy Brabham — Billing Profile & Reimbursement Data

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Roy Brabham — 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