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    OpenPayerNPI Medicare & MedicaidKacian Brown
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    Kacian Brown — Billing Profile & Reimbursement Data

    NPI 1508029141 · Maitland, FL · Family Medicine Physician

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    Kacian Brown is a family medicine physician provider located in Maitland, Florida. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKacian Brown
    Address2400 Maitland Center Pkwy Ste 310
    CityMaitland
    StateFL
    ZIP32751
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 3, 2008

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

    Payer SourceTotal Paid
    Medicare$9.4M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $9.4M and there is no Medicaid billing on file, so payer mix is dominated by Medicare dollars and any analysis or negotiation should treat the practice as single-payer in operational scale. The NPI was enumerated on 2008-07-03 (~18 years ago), indicating an established presence in the market rather than a new entrant.

    Revenue is highly concentrated in a very small set of Medicare codes: the precomputed top-3 codes account for 95.2% of this provider's total Medicare revenue. Those top three are Q4262 ($4.8M, 50.7% of Medicare revenue), Q4253 ($4.1M, 43.1% of Medicare revenue), and 99348 ($126.6K, 1.3% of Medicare revenue), so the practice’s financial profile depends overwhelmingly on the two amniotic/dual layer membrane product codes and a single home-visit E/M code.

    The code mix and payments point to a wound-care/skin-repair oriented operation that also provides home visits: high-revenue, product-based codes Q4262 ($997 avg paid/claim) and Q4253 ($715 avg paid/claim) together drive the bulk of revenue, while a suite of debridement codes (11043, 11042, 11044) and skin-substitute codes (15271, 15272) appear throughout the top billings. That combination — expensive per-square-centimeter membrane products plus procedural debridement and grafting — is consistent with an outpatient wound care practice or family-medicine clinic with a strong wound-care service line.

    Competitive standing on the two top product codes is mixed: Q4253 ranks #9 of 73 providers nationally (89th percentile), placing this provider among the higher-volume billers for that product, while Q4262 ranks #27 of 141 (81th percentile), which the source characterizes as typical or unremarkable volume for that code. In short, the provider is a relatively prominent biller for Q4253 nationally and a solid but not dominant participant for Q4262.

    Several E/M-for-home-visit codes show unusually high national utilization relative to peers: 99348 ranks #30 of 11547 providers nationally (100th percentile; extreme outlier, far above typical national volume) and 99349 ranks #619 of 14284 (96th percentile; notably above typical national volume), with 99344 also appearing at elevated volume (97th percentile). These extreme/above-typical percentiles for home/residence visit codes suggest a distinct operational emphasis on home-based care in addition to in-office wound procedures.

    Beyond the top two product lines, procedural wound-care activity is substantial and above typical levels for several codes: 11043 ($106.6K revenue) is at the 91th percentile, 11042 ($70.4K) is at the 98th percentile (notably above typical national volume), and 17000 ($43.4K) is at the 96th percentile. This pattern reinforces that the practice’s billed services are heavily weighted toward procedural wound management and lesion destruction rather than only primary care office visits.

    The provider’s financial reliance on high-cost, per-square-centimeter membrane codes (Q4262 and Q4253 together representing the majority of revenue) creates sensitivity to changes in product utilization or reimbursement for those specific HCPCS codes. Because the two membrane codes account for the lion’s share of payments ($4.8M and $4.1M respectively), shifts in payer coverage, pricing, or clinical sourcing of these materials would materially affect the practice’s Medicare revenue profile.

    Taken together — an NPI active since 2008, concentrated revenue in amniotic membrane products, elevated procedural debridement volumes, and extreme national outlier status for home-visit E/M code 99348 — the provider presents as an established, specialty-oriented family-medicine practice with substantial wound-care and home-delivery components rather than a generalist primary-care billing profile. Analysts should therefore treat comparisons and risk-adjusted benchmarks against general family-medicine panels with caution and instead benchmark against wound-care/home-visit cohorts where possible.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)4,800$1,000$4.8M
    Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)5,690$720$4.1M
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…2,150$60$126.6K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…620$170$106.6K
    99349The 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…970$100$96.5K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.870$80$70.4K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,010$40$43.4K
    11046The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…450$60$26.2K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.230$110$24.6K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…90$220$19.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42624401,120$1,000$1.7M
    Q42531201,070$720$1.3M
    1104366310200$160$60.7K
    993491161,570140$90$27.4K
    110472640190$80$21.4K
    110444012060$210$20K
    11042581,000100$70$17.4K
    1104622130120$50$14K
    11106184030$110$12.9K
    170001582,110230$30$12.9K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lobaba HabachFLFamily Nurse Practitioner$8.5M$0
    Claudio ManubensFLCardiovascular Disease Physician$2.5M$1.9K
    Sarah SanchezFLFamily Nurse Practitioner$2.5M$0
    Asad QamarFLCardiovascular Disease Physician$1.9M$0
    Kelly MctaggartFLFamily Nurse Practitioner$972.7K$0
    Alexis VazquezFLPulmonary Disease Physician$588K$0
    David Romero FischmannFLPulmonary Disease Physician$500K$0
    Joseph PaolucciFLHospitalist Physician$380.7K$75.5K
    Shawn ChopraFLHospitalist Physician$447.2K$0
    Sanjay PatelFLInternal Medicine Physician$422.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$124.5M
    Adventist Health System Sunbelt, Inc.FLUrgent Care Clinic/Center$0$67.5M
    Integrity Health Services Orlando, LLCFLHome Health Agency$0$24.8M
    Childrens Surgery Center LLCFLAmbulatory Surgical Clinic/Center$735.2K$2.8M
    Vivia FranksonFLFamily Nurse Practitioner$1.5M$0
    Amish ParikhFLCardiovascular Disease Physician$1.2M$0
    Arnaldo IsaFLSpecialist$844.6K$0
    Penny GlickmanFLEndocrinology, Diabetes & Metabolism Physician$485.9K$0
    Neel PatelFLCardiovascular Disease Physician$481.6K$0
    William GrisaitisFLDermatology Physician$470K$0

    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. Florida Distribution
    Kacian Brown — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida