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    Neil Brandon — Billing Profile & Reimbursement Data

    NPI 1316976780 · Wakefield, RI · Cardiovascular Disease Physician

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    Neil Brandon is a cardiovascular disease physician provider located in Wakefield, Rhode Island. This profile covers 11 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNeil Brandon
    Address70 Kenyon Ave
    CityWakefield
    StateRI
    ZIP02879
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJune 30, 2006

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

    Payer SourceTotal Paid
    Medicare$30.9K
    Medicaid$1.8K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…210$60$11.6K
    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…90$90$8.5K
    99204The provider sees a new 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 provider…30$120$3.7K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…210$10$1.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…30$50$1.4K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…20$50$1.3K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…50$10$660
    99203The provider sees a new 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 provider…10$60$650
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…50$10$420
    93288In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…20$10$340

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933066870220$80$17.5K
    78452303060$190$12.6K
    992149961,950100$80$11.7K
    992133271,95070$60$7.4K
    9920430274030$110$4.6K
    9920355758030$70$3.6K
    93280303050$40$2.4K
    930003938030$10$810
    93016114030$20$660
    9328811020$30$630

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.280$10$1.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.87150470$10$19.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edward MedeirosRINephrology Physician$87.2K$6.8M
    Richard LimRIInternal Medicine Physician$52.2K$3.4M
    Robert GianfroccoRIEmergency Medicine Physician$14.7K$633.9K
    Katherine WilliamsRIFamily Medicine Physician$0$564.8K
    Alexandra HarnoisRIFamily Nurse Practitioner$16K$398.2K
    Donald JoyceRIRadiation Oncology Physician$411.3K$0
    Colleen PowersRIPediatrics Physician$0$349.9K
    Sumit DasRISpecialist$163.1K$67.2K
    Allison JonesRIFamily Nurse Practitioner$35K$162.1K
    Bethany KnorrRIMedical Physician Assistant$22.1K$163.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South County Hospital Healthcare SystemRIGeneral Acute Care Hospital$0$5.3M
    Eric ProssedaRIGeneral Practice Dentistry$0$5.2M
    Joey NapolitanoRIPublic Health Dentistry$0$1.7M
    Elise JarvisRIMental Health Counselor$0$1.7M
    Rhode Island Pet Services, LLCRIMobile Radiology Clinic/Center$773.2K$497.1K
    Catherine DegoodRIAddiction Medicine (Family Medicine) Physician$3.1K$1.1M
    Emergency Physician Associates Of New England PCRIEmergency Medicine Physician$0$1M
    Ira KulmanRIClinical Neuropsychologist$0$1M
    South Kingstown School DepartmentRILocal Education Agency (LEA)$0$814K
    Emily ColyerRIEmergency Medicine Physician$36K$528.6K

    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. Rhode Island Distribution
    Neil Brandon — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Neil Brandon — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island