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

Why is the Medicaid comparison limited to California 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. California (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 Carroll (NPI 1497369284)

Field	Value
Entity Type	Individual
Organization	Brian Carroll
Address	12903 Longboat Way
City	Del Mar
State	CA
ZIP	92014
Taxonomy	Physician Assistant
NPI Enumerated	August 31, 2020

Payer Source	Total Paid
Medicare	$214K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	1,400	$130	$175.8K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	1,170	$20	$23.3K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	50	$140	$6.2K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	50	$60	$3.1K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	20	$180	$2.7K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	40	$60	$2.4K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	20	$40	$530

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Brian Carroll — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	24	550	80	$140	$38.8K
99349	643	870	110	$90	$31.7K
99345	92	290	30	$150	$12.5K
99497	1,235	2,560	50	$70	$8K
G0318	7	60	100	$20	$7.8K
99496	979	1,280	20	$220	$7.6K
69210	1,120	1,370	30	$30	$4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Kiskila	CA	Family Medicine Physician	$158.7K	$458.7K
Matthew Szkalak	CA	Physical Therapist	$318.3K	$0
Arnold Kremer	CA	Family Medicine Physician	$232K	$0
Shannon Smith	CA	Family Nurse Practitioner	$157.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Tran	CA	Family Medicine Physician	$479.8K	$0
Fatima Kazem	CA	Diagnostic Radiology Physician	$443.5K	$0
Rachael Mudd	CA	Physician Assistant	$181.7K	$0

Brian Carroll — Billing Profile & Reimbursement Data

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Brian Carroll — 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