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

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

Brian Downen (NPI 1336122647)

Field	Value
Entity Type	Individual
Organization	Brian Downen
Address	309 Medic Way
City	Greencastle
State	IN
ZIP	46135
Taxonomy	Family Medicine Physician
NPI Enumerated	November 22, 2005

Payer Source	Total Paid
Medicare	$33.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	260	$80	$20.5K
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.	70	$120	$8.4K
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.	90	$50	$4.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10	$30	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Brian Downen — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	912	1,370	120	$130	$18.7K
99284	7	1,360	70	$80	$6.4K
99283	14	720	20	$50	$1.4K
99282	21	50	10	$30	$720

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Medcare, Inc	AR	Emergency Medicine Physician	$0	$8M
Arkansas Healthcare Services LLC	AR	Urology Physician	$0	$1.7M
Ajay Deshpande	IN	Pulmonary Disease Physician	$340K	$0
Michael Hubbard	MO	Orthopaedic Surgery Physician	$298.3K	$0
Anand Bhuptani	IN	Pulmonary Disease Physician	$278.1K	$0
Phillip Glasgow	AR	Family Medicine Physician	$267.9K	$0
Nayneshkumar Patel	AR	Critical Care Medicine (Internal Medicine) Physician	$239.6K	$0
Albert Chinn	AR	Pulmonary Disease Physician	$227K	$0
Seth Hollenbach	AR	Urology Physician	$226.2K	$0
Nathan Littlejohn	AR	Urology Physician	$219.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Putnam County Comprehensive Service	IN	Developmentally Disabled Services Day Training Agency	$0	$38.3M
Tiffco Care2 LLC Dba Visiting Angels Home Healthcare	IN	Home Health Agency	$0	$8.4M
Putnam County Hospital	IN	Critical Access Hospital	$0	$5.7M
Tiffco Care LLC	IN	Home Health Agency	$0	$2.6M
Putnam County Ems	IN	Land Ambulance	$275.1K	$1.1M
Troy Quiz	IN	Family Medicine Physician	$82K	$0

Brian Downen — Billing Profile & Reimbursement Data

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Brian Downen — 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