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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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 Peppers (NPI 1558660480)

Field	Value
Entity Type	Individual
Organization	Brian Peppers
Address	608 Cheat Rd
City	Morgantown
State	WV
ZIP	26508
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	March 17, 2011

Payer Source	Total Paid
Medicare	$20.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	140	$70	$9.9K
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…	50	$100	$4.8K
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…	80	$50	$4.2K
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…	20	$50	$850
95076	The provider performs this test to identify which foods, drugs, or other substances trigger an allergic response in an individual.	20	$50	$800
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	20	$10	$120

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Brian Peppers — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,029	2,740	100	$70	$11.8K
99213	1,441	2,860	80	$50	$7.5K
99204	303	1,220	30	$100	$4.1K
99203	722	940	30	$60	$2.8K
95076	2	10	20	$70	$1.3K
94060	65	70	40	$20	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raymond Wawrowski	OH	Physician Assistant	$4.7M	$0
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Mohammad Asad	IL	Hematology & Oncology Physician	$1.6M	$93.6K
Akif Mohammed	TX	Interventional Cardiology Physician	$645.2K	$0
Julius Elmore	GA	Cardiovascular Disease Physician	$559.9K	$0
David Theis	CO	Rheumatology Physician	$545.2K	$0
Andrew Koogler	WA	Pain Medicine (Anesthesiology) Physician	$491.4K	$0
John Johnson	MA	Allergy & Immunology Physician	$424.5K	$0
Michael Hoosien	GA	Clinical Cardiac Electrophysiology Physician	$300.5K	$0
Valerie Erdman	OH	Internal Medicine Physician	$299.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mulberry Street Management Services, Inc.	WV	In Home Supportive Care Agency	$0	$175.6M
West Virginia's Choice	WV	Home Health Agency	$0	$72.7M
Mulberry Street Management Services, Inc.	WV	Community/Behavioral Health Agency	$0	$28.9M
Valley Comprehensive Community Mental Health Center	WV	Respite Care	$0	$21.8M
Valley Comprehensive Community Mental Health Center	WV	Community/Behavioral Health Agency	$0	$19.4M
Valley Comprehensive Community Mental Health Center, Inc.	WV	Mental Health Counselor	$0	$16.7M
Mulberry Street Management Services, Inc.	WV	Case Management Agency	$0	$8.3M
Baymark Health Services Of West Virginia, Inc.	WV	Substance Use Disorder Rehabilitation Clinic/Center	$80.4K	$7.9M
Dr. Cynthia D. Parks Dds, PLLC	WV	Pediatric Dentistry	$0	$2.7M
West Virginia Choice	WV	Home Health Agency	$0	$2.2M

Brian Peppers — Billing Profile & Reimbursement Data

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Brian Peppers — 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