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

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

Brett Malone (NPI 1689962409)

Field	Value
Entity Type	Individual
Organization	Brett Malone
Address	10 Hospital Dr
City	Saint Peters
State	MO
ZIP	63376
Taxonomy	Hospitalist Physician
NPI Enumerated	July 13, 2011

Payer Source	Total Paid
Medicare	$1.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	20	$60	$950
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	10	$60	$630

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Brett Malone — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99348	92	170	50	$50	$4.5K
99342	7	30	30	$50	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Physician Services PC	TN	Hospitalist Physician	$0	$14.7M
Sound Physicians Of Illinois, LLC	MO	Hospitalist Physician	$0	$5M
Vishnu Madireddy	IL	Internal Medicine Physician	$389K	$3.1M
Brian Smith	KY	Family Medicine Physician	$192.9K	$3.2M
Ossama Zorub	IN	Hospitalist Physician	$191.5K	$2M
Sayuri Cheruvu	IN	Medical Oncology Physician	$934.1K	$0
Rachel Bates	TN	Physician Assistant	$874.4K	$0
Jason Della Vecchia	TN	Addiction Medicine (Internal Medicine) Physician	$108.8K	$623.2K
Derinbhai Patel	TX	Internal Medicine Physician	$666.3K	$0
Leann Nitz	IL	Family Nurse Practitioner	$524.8K	$71.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Handicap Facilities Of St Charles County	MO	Case Management Agency	$0	$29.7M
Commun Ity Living For The Handicapped Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$25.6M
Community Living For The Handicapped Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23.7M
Delta Center Personal Attendant Services	MO	In Home Supportive Care Agency	$0	$22.5M
St. Charles County Ambulance District	MO	Land Ambulance	$3.4M	$10.7M
Shanee Woodard	MO	In Home Supportive Care Agency	$0	$8.8M
Resolutions For People, LLC	MO	In Home Supportive Care Agency	$0	$7.9M
Mcclay Adult Day Center LLC	MO	Adult Day Care Clinic/Center	$0	$4.8M
Barnes Jewish St Peters Hospital Inc	MO	General Acute Care Hospital	$0	$4.4M
Caron Rigden	MO	Medical Oncology Physician	$1.6M	$0

Brett Malone — Billing Profile & Reimbursement Data

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Brett Malone — 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