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    OpenPayerNPI Medicare & MedicaidRobert Brennan
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    Robert Brennan — Billing Profile & Reimbursement Data

    NPI 1659355170 · Lynchburg, VA · Infectious Disease Physician

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    Robert Brennan is a infectious disease physician provider located in Lynchburg, Virginia. This profile covers 40 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
    OrganizationRobert Brennan
    Address2215 Landover Pl
    CityLynchburg
    StateVA
    ZIP24501
    TaxonomyInfectious Disease Physician
    NPI EnumeratedNovember 30, 2005

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

    Payer SourceTotal Paid
    Medicare$15.9M
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is sizable and effectively single‑payer: total Medicare revenue is $15.9M and there is no Medicaid billing on file, so the practice’s public-payor footprint is concentrated entirely in Medicare. The absence of Medicaid activity indicates this profile should be interpreted as a Medicare-centric operation rather than a mixed Medicaid/Medicare practice.

    Revenue concentration is high at the code level: the precomputed top-3 Medicare codes by revenue account for 35.1% of this provider’s total Medicare revenue. The three leading codes are J0897 ($2.1M, 13.1%), J3380 ($2M, 12.3%), and J2357 ($1.6M, 9.8%), which together drive more than a third of the Medicare dollars reported for this NPI.

    The code mix indicates a specialty infusion/injectable biologics operation rather than a general ambulatory practice: leading codes include J0897 (denosumab), J3380 (vedolizumab), and J2357 (omalizumab), plus multiple other high-volume biologic and infusion codes (for example, J3245, J2350, J0517, J2182). Frequent use of infusion administration codes such as 96365 and the modifier/add-on 96415 (both flagged as extreme outliers) reinforces that the practice administers large volumes of clinic- or office-based IV/subcutaneous biologic therapies.

    The provider is a dominant national outlier for several high-revenue biologics: J0897 ranks #1 of 10057 providers nationally (100th percentile; extreme outlier) and J3380 ranks #1 of 620 providers nationally (100th percentile; extreme outlier), while J2357 also ranks #1 of 581 providers nationally (100th percentile; extreme outlier). These #1 rankings indicate this NPI bills far above typical national volumes for multiple specific biologic drugs, positioning the provider as a major national billing outlier for those therapies.

    Beyond the top three, the practice shows repeated above‑typical volume for many biologic drugs: examples include J0517 ($1.1M, 6.6%; ranks #1 of 200, 100th percentile; extreme outlier), J0485 ($720.1K, 4.5%; ranks #1 of 20, 100th percentile; extreme outlier), and J1745 ($651K, 4.1%; ranks #8 of 1352, 99th percentile; extreme outlier). A mix of extreme outlier and notably-above-typical percentile designations across many J‑codes suggests systematic, high-volume administration of specialty injectables across multiple agents.

    Not all codes are unusually large: several oncology/infusion and biologic codes appear at typical or modest percentiles (for example, J2350 ranks #13 of 105, 88th percentile and J9312 ranks #25 of 317, 92th percentile), indicating the provider’s dominance is concentrated in specific drugs rather than across every biologic or infusion CPT/HCPCS line. This pattern suggests focused high-volume prescribing/administration for a subset of agents rather than uniform outlier behavior across the entire infusion/drug portfolio.

    Operationally, the presence of large claim counts for low-paid-per-claim codes (for example, J0485 with 240K claims at $3 avg paid/claim, $720.1K revenue) alongside high-paid-per-claim agents (for example, J3245 at $110 avg paid/claim, $1.3M revenue) indicates a mixed-case throughput model combining many low-unit, high-frequency administrations with fewer high-unit, higher-reimbursement drugs. The combination of extremely high claim counts and a range of avg paid/claim values implies substantial patient throughput and logistics to support frequent injections and infusions.

    The provider has longstanding enrollment in Medicare, with NPI enumeration dated 2005-11-30 (~21 years ago), which provides a long claims history consistent with the sizable lifetime Medicare revenue reported. That tenure, combined with repeated top-percentile rankings on multiple J‑codes, supports interpretation of this NPI as an established, specialty biologics/infusion practice within the Medicare market.

    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg115,560$20$2.1M
    J3380Injection, vedolizumab, intravenous, 1 mg115,200$20$2M
    J2357Injection, omalizumab, 5 mg51,840$30$1.6M
    J3245Injection, tildrakizumab, 1 mg12,200$110$1.3M
    J2350Injection, ocrelizumab, 1 mg25,200$40$1.1M
    J0517Injection, benralizumab, 1 mg8,280$130$1.1M
    J2182Injection, mepolizumab, 1 mg36,900$20$848.7K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)22,530$30$743.3K
    J0485Injection, belatacept, 1 mg240,050$1$720.1K
    J1745Injection, infliximab, excludes biosimilar, 10 mg26,040$30$651K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J235021025,200$40$1.8M
    J32452104,700$110$728K
    J0485110240,050$1$690.9K
    J012943010,450$30$407.3K
    J326292075,870$1$383.3K
    J0717143074,500$1$361.7K
    J93121103,950$60$259.5K
    J33801207,200$20$257.9K
    J130661013,650$10$225K
    J05171201,200$130$213K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Privia Medical Group, LLCVAInternal Medicine Physician$0$81.2M
    Centra Medical Group, LLCVAFamily Medicine Physician$0$60.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Adebowale PrestMDFamily Medicine Physician$2.8M$0
    Jong AnVAHematology & Oncology Physician$2.4M$0
    Bluestone Health Association, Inc.WVFederally Qualified Health Center (FQHC)$0$1.9M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Glenda MccarterMDNurse Practitioner$1.3M$0
    Salman MuftiVADiagnostic Radiology Physician$1.2M$0
    Reema MunirCADiagnostic Radiology Physician$949.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lutheran Family Services Of Virginia, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$194.3M
    Horizon Behavioral HealthVACommunity/Behavioral Health Agency$0$138.1M
    Brightview LLCVASubstance Use Disorder Rehabilitation Clinic/Center$0$32M
    Centra Health IncVAGeneral Acute Care Hospital$0$18.5M
    Virginia Treatment Center, LLCVAMethadone Clinic$116.5K$15.9M
    Cabaniss Consultants LLCVADevelopmentally Disabled Services Day Training Agency$0$10.9M
    Sense Of Security Care, Inc.VAHome Health Aide$0$9.2M
    Surgery Center Of Lynchburg LLCVAAmbulatory Surgical Clinic/Center$4M$799.8K
    Landon CollingVAOphthalmology Physician$2.8M$190
    Pathology Consultants Of Central Va, IncVAClinical Medical Laboratory$696K$1.6M

    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. Virginia Distribution
    Robert Brennan — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia