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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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 Bacot (NPI 1356333843)

Field	Value
Entity Type	Individual
Organization	Brian Bacot
Address	9149 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	August 19, 2005

Payer Source	Total Paid
Medicare	$53K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is small in absolute dollars: Total Medicare revenue is $53K and there is none (no Medicaid billing on file), indicating an effectively single‑payer Medicare practice at least in the public data available. The absence of Medicaid billing suggests limited participation in state Medicaid programs or no Medicaid patient volume captured in these records, rather than detailing commercial payor activity.

Revenue is highly concentrated in three procedures: the top 3 Medicare codes by revenue account for 68.5% of this provider's total Medicare revenue. Those codes are 27447 (28.7%), 29827 (20.9%), and 99214 (19.0%), so a large majority of billed Medicare dollars come from two surgical procedures and a single established-patient E/M code.

The code mix points to a surgical orthopaedic practice focused on joint procedures and office management. High-revenue procedure 27447 (knee arthroplasty) and arthroscopic rotator cuff repair 29827 are the primary surgical drivers, while 99214 (established outpatient E/M) provides substantial outpatient follow-up revenue; average payments for those codes are $1012 (27447), $853 (29827), and $83 (99214) per claim respectively, reflecting how procedural and E/M payments combine to form the revenue profile.

For primary procedural work, the provider’s national competitive standing is modest. 27447 ranks #10175 of 12089 providers (13th percentile; typical, unremarkable volume), indicating this clinician is a low-to-moderate volume performer nationally for knee arthroplasty rather than a regional or national high‑volume implant surgeon.

Shoulder arthroscopy with rotator cuff repair 29827 similarly shows modest relative volume: rank #2519 of 3445 providers (19th percentile; typical, unremarkable volume). The pattern suggests occasional shoulder arthroscopy in the practice mix rather than a high-throughput subspecialty shoulder surgery focus.

Office-based management is a meaningful part of activity and revenue: the provider reported 121 claims for 99214 (average paid $83, $10K revenue, 19.0% of Medicare revenue), and 70 claims for 99213 (average paid $63, $4.4K revenue). 99214 ranks #221389 of 479517 providers (54th percentile; typical, unremarkable volume), which is consistent with routine longitudinal outpatient care that supports the surgical practice.

The provider has long tenure by enrollment data—NPI enumerated 2005-08-19 (~21 years ago)—yet lifetime public Medicare receipts are modest in scale. That combination is consistent with an experienced orthopaedic surgeon who either maintains a relatively small Medicare panel, practices in a mixed-age population with fewer Medicare patients, or derives larger shares of revenue from non-Medicare sources not visible in this dataset.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	20	$1,010	$15.2K
29827	The 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…	10	$850	$11.1K
99214	The 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…	120	$80	$10K
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…	70	$60	$4.4K
99204	The 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	$100	$3.4K
29824	The 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…	10	$170	$2.3K
29826	The 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…	10	$140	$1.8K
20610	In 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…	40	$50	$1.8K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	40	$30	$1K
72110	In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.	20	$40	$770

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Brian Bacot — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	1	10	10	$2,760	$38.6K
99214	34	80	100	$80	$15.5K
29827	1	10	10	$850	$11.1K
99213	51	80	100	$50	$7.6K
99204	19	40	40	$100	$4.4K
20610	4	10	80	$40	$3.5K
29824	1	10	10	$170	$2.3K
29826	1	10	10	$140	$1.8K
73562	4	10	40	$20	$1.2K
72110	2	10	20	$30	$620

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
Comprehensive Orthopedics LLC	VI	Specialist	$0	$1.1M
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Walter Rohloff	VI	Nephrology Physician	$85.2K	$100.3K
Leslie Kingslow	DC	Pulmonary Disease Physician	$176.8K	$0
James Gasho	MD	Orthopaedic Surgery Physician	$172.1K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Nelson	VI	Neurology Physician	$143.2K	$0
Jeanette Dilan-koetje	MO	Internal Medicine Physician	$133.6K	$0
Renee Georges	VI	Surgery Physician	$25.4K	$100.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

Brian Bacot — 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