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

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

Brevard Physician Associates, PLLC (NPI 1598008955)

Brevard Physician Associates, PLLC is a anesthesiology physician provider located in Melbourne, Florida. This profile covers 0 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Brevard Physician Associates, PLLC
Address	1775 W Hibiscus Blvd Ste 215
City	Melbourne
State	FL
ZIP	32901
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 3, 2013

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	119,480	$50	$6.3M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	110,940	$40	$4.8M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	13,880	$30	$346.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	9,800	$30	$313.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	30,720	$10	$276.5K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	112,820	$1	$225.6K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,780	$20	$86K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,030	$80	$79.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,700	$20	$59.3K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	2,360	$20	$54.3K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

Claims Volume vs. Florida Distribution

Brevard Physician Associates, PLLC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	222	700	2,400	$80	$1.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	16	740	2,180	$70	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	12	660	1,900	$70	$743.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	135	320	1,970	$90	$463.1K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	22	350	1,160	$80	$308.7K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	68	80	250	$290	$222.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	18	410	1,640	$40	$220.5K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	32	310	1,120	$80	$185.5K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	52	110	250	$80	$176.4K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	56	100	300	$110	$144.1K

Showing 1–10 of 37

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shawn Carter	FL	Nuclear Medicine Physician	$2.2M	$0
Sanjeev Bagga	AR	Diagnostic Radiology Physician	$958.4K	$0
Chiedozie Mkpolulu	IL	Diagnostic Radiology Physician	$676K	$59.3K
Johnathan Hays	VA	Diagnostic Radiology Physician	$275K	$32K
Jose Ramos	FL	Diagnostic Radiology Physician	$260.5K	$0
Neal Young	NY	Vascular & Interventional Radiology Physician	$222.2K	$32.5K
John Sheppard	NH	Diagnostic Radiology Physician	$241.3K	$0
Harish Panicker	FL	Neuroradiology Physician	$233.7K	$0
David Rosenberg	FL	Diagnostic Radiology Physician	$231.9K	$0
Barbara Newman	FL	Diagnostic Radiology Physician	$223.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holmes Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$12.3M
Circles Of Care, Inc.	FL	Psychiatric Hospital	$0	$11.8M
Central Florida Kidney Centers Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10.5M
Health First Medical Group, LLC	FL	General Practice Physician	$0	$7.7M
Florida Clinical Laboratory, Inc	FL	Clinical Medical Laboratory	$4.7M	$549K
Sumeet Thareja	FL	Specialist	$4M	$0
Hetal Vaishnav	FL	Ophthalmology Physician	$2M	$0
Melbourne Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$935.1K	$1.1M
Vrinda Hershberger	FL	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Gary Ganiban	FL	Ophthalmology Physician	$1.7M	$0

Brevard Physician Associates, PLLC — Billing Profile & Reimbursement Data

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Brevard Physician Associates, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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