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

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

Brandon Sexton (NPI 1598366221)

Field	Value
Entity Type	Individual
Organization	Brandon Sexton
Address	2137 Volunteer Pkwy Ste 5
City	Bristol
State	TN
ZIP	37620
Taxonomy	Physical Therapist
NPI Enumerated	November 9, 2020

Payer Source	Total Paid
Medicare	$11.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	90	$70	$6.1K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	20	$210	$4.6K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	50	$20	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Brandon Sexton — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95886	41	120	80	$60	$9.8K
95913	10	30	20	$180	$5.2K
97750	16	30	30	$20	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rehabauthority, LLC	ND	Multi-Specialty Clinic/Center	$0	$3.5M
Dustin Arthur	KY	Clinical Electrophysiology Physical Therapist	$54.3K	$77.8K
Evan Applegate	UT	Physical Therapist	$120K	$0
Justin Anderson	ND	Physical Therapist	$114.7K	$0
Jed Loertscher	ID	Physical Therapist	$97.9K	$0
Travis Beniak	MN	Physical Therapist	$93.4K	$0
Darren Riggs	KY	Physical Therapist	$76.3K	$0
Clayton Shaw	ID	Physical Therapist	$71.2K	$0
Douglas Winzenburg	ND	Physical Therapy Clinic/Center	$54.6K	$0
Amanda Gunkel	ND	Physical Therapist	$54K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellmont Health System	TN	General Acute Care Hospital	$0	$27.3M
Bristol Pediatric Dentistry PLLC	TN	Pediatric Dentistry	$0	$23.4M
Ipc Pac Healthcare Services Of Tennessee PC	TN	Internal Medicine Physician	$0	$8.5M
Blue Ridge Radiology, P.C.	TN	Diagnostic Radiology Physician	$0	$4.2M
Youthcare Pediatrics	TN	Pediatrics Physician	$0	$3.1M
Applachian Recovery Care, PLLC	TN	Addiction Medicine (Internal Medicine) Physician	$0	$2.4M
Ambulance Service Of Bristol Inc	TN	Ambulance	$836.3K	$1.5M
Mountain Empire Cataract & Eye Surgery Center	TN	Ambulatory Surgical Clinic/Center	$953.1K	$929.5K
The Endoscopy Center Of Bristol	TN	Ambulatory Surgical Clinic/Center	$508.4K	$181.3K
Renaissance Surgery Center, LLC	TN	Ambulatory Surgical Clinic/Center	$669.7K	$0

Brandon Sexton — Billing Profile & Reimbursement Data

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Brandon Sexton — 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