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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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 Middleton (NPI 1679550628)

Field	Value
Entity Type	Individual
Organization	Brian Middleton
Address	211 Redmond Rd Nw
City	Rome
State	GA
ZIP	30165
Taxonomy	Podiatrist
NPI Enumerated	December 29, 2005

Payer Source	Total Paid
Medicare	$71.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	410	$60	$26.4K
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…	130	$80	$9.8K
28312	In this procedure, the provider performs an osteotomy, cutting a portion of the bone of the phalanx in any toe, except the proximal phalanx of the greater toe, to correct alignment and deformity.	50	$150	$7K
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…	60	$90	$5.5K
28270	The provider incises the capsule of a metatarsophalangeal joints of the toes to restore range of motion and relieve pain from a contracture. He may suture the tendon to strengthen it.	40	$130	$5.4K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	100	$30	$3.2K
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…	20	$130	$2.1K
11750	The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.	20	$100	$1.7K
76000	In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.	50	$30	$1.6K
20604	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa, typically the fingers or toes, and then uses the syringe attachment to the needle to…	20	$60	$1.5K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Brian Middleton — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,289	13,640	120	$80	$17.8K
28312	1	10	50	$370	$17.1K
11721	229	310	240	$30	$10.6K
99213	1,183	13,360	80	$60	$9.2K
28270	1	10	30	$280	$8K
99204	5,590	7,260	30	$110	$5.1K
20551	13	30	20	$30	$4K
99203	350	5,350	30	$70	$3.3K
11750	80	120	20	$100	$2.9K
11755	33	40	20	$70	$2.7K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr. Miniyars Pediatrics, P.C.	GA	Pediatrics Physician	$0	$18.8M
Dimple Modi	GA	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Floyd Physicians, LLC	GA	Neonatal-Perinatal Medicine Physician	$0	$2.6M
Gregory Harris	GA	Hematology & Oncology Physician	$2M	$0
Melissa Dillmon	GA	Hematology & Oncology Physician	$2M	$0
Ear,nose,& Throat Of Northwest Georgia	GA	Otolaryngology Physician	$0	$2M
Dilawar Khan	GA	Hematology & Oncology Physician	$1.9M	$0
Amtran Medical Transport Inc	GA	Land Ambulance	$1.8M	$1.7K
Floyd Healthcare Management Inc	GA	Family Medicine Physician	$0	$1.3M
Jeffrey Peller	GA	Rheumatology Physician	$1.1M	$0

Brian Middleton — Billing Profile & Reimbursement Data

Sign up for Brian Middleton — Billing Profile & Reimbursement Data policy alerts

Brian Middleton — Billing Profile & Reimbursement Data

Sign up for Brian Middleton — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References