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

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

Mark Brayford (NPI 1417155151)

Field	Value
Entity Type	Individual
Organization	Mark Brayford
Address	48 Tunnel Rd
City	Pottsville
State	PA
ZIP	17901
Taxonomy	Sports Medicine (Family Medicine) Physician
NPI Enumerated	July 3, 2007

Payer Source	Total Paid
Medicare	$192.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	620	$90	$55.4K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	510	$80	$41.9K
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	100	$400	$39.2K
J7327	Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	40	$560	$24.1K
J3304	Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,220	$10	$15.8K
99203	The 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…	100	$80	$7.2K
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	$120	$3.3K
99443	N/A	30	$90	$2.8K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,190	$1	$2.2K
93000	The 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…	40	$10	$370

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Mark Brayford — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3304	42	70	1,570	$10	$27.6K
J7327	25	80	30	$550	$24.8K
J7326	17	110	30	$400	$21K
99214	1,078	23,230	100	$80	$14.5K
20611	6	310	50	$80	$7.9K
99204	5,501	10,290	30	$110	$5K
99203	865	7,330	30	$70	$3.5K
99443	143	380	20	$80	$3K
93000	1,488	3,410	30	$10	$1.4K
J3301	94	1,610	190	$1	$440

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geisinger Clinic	PA	Surgery Physician	$0	$74.6M
Jefferson University Physicians	PA	General Practice Physician	$0	$30.8M
Geisinger Pharmacy LLC	PA	Pharmacy	$0	$26.7M
The Milton S. Hershey Medical Center Physicians Group	PA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$0	$26.6M
St. Luke's Hospital	PA	General Acute Care Hospital	$0	$23.4M
St Lukes Hospital	PA	General Acute Care Hospital	$0	$20.8M
Geisinger Clinic - Outpatient Psych	PA	Counselor	$0	$19.6M
Geisinger Clinic	PA	Diagnostic Radiology Physician	$0	$14.9M
Geisinger Clinic	PA	Family Medicine Physician	$0	$13.4M
St Lukes Hospital-anderson Campus	PA	General Acute Care Hospital	$0	$8.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Redco Group, LLC.	PA	Adolescent and Children Mental Health Clinic/Center	$0	$26.6M
Merakey Pennsylvania	PA	Community/Behavioral Health Agency	$0	$26.3M
The Redco Group, LLC.	PA	Community/Behavioral Health Agency	$0	$16.8M
Lehigh Valley Hospital - Schuylkill	PA	Rural Acute Care Hospital	$0	$6.8M
Integrated Medical Group P C	PA	Family Medicine Physician	$0	$5.5M
Pottsville Area Emergency Medical Services, Inc.	PA	Land Ambulance	$931.5K	$2.1M
The Pottsville PA Endoscopy Asc LP	PA	Ambulatory Surgical Clinic/Center	$509.5K	$146.9K
Solomon Luo	PA	Ophthalmology Physician	$390.9K	$31.1K
Schuylkill Open Mri Inc	PA	Radiology Clinic/Center	$365.7K	$9.6K
William Kellogg	PA	Ophthalmology Physician	$108.5K	$245.1K

Mark Brayford — Billing Profile & Reimbursement Data

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Mark Brayford — 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