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

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

Gregory Brophey (NPI 1699889972)

Field	Value
Entity Type	Individual
Organization	Gregory Brophey
Address	156 N Main St
City	Saint Albans
State	VT
ZIP	05478
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicare	$234.2K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in cataract surgery and office-based ophthalmology care: the top procedure by revenue is 66984 (cataract extraction with intraocular lens) which accounts for $73.2K and 31.3% of total Medicare revenue, and the top three Medicare codes together account for 63.3% of the provider’s Medicare revenue. The code mix (66984, 99214, 99204) indicates a practice model that blends high-volume surgical cataract work with substantial E/M visits for both new and established patients, suggesting a clinically broad ophthalmology practice focused on cataract surgery and associated outpatient follow-up and evaluations.

Revenue concentration is high: precomputed data show the top three Medicare codes represent 63.3% of this provider’s total Medicare revenue, indicating a reliance on a small set of services for the majority of billings. This concentration implies that changes in cataract surgery volumes or E/M visit patterns could materially affect overall Medicare revenue for this clinician.

Payer mix is effectively single-payer: the provider reports Total Medicare revenue of $234.2K and has no Medicaid billing on file, so the provider operates with Medicare-only public-payer activity in the available dataset. Analysts should treat this profile as Medicare-dominant when modeling public program exposure or estimating Medicare-driven patient volume and revenue sensitivity.

Competitive standing on key codes is mixed: for 66984 the provider ranks #5727 of 15965 nationally (64th percentile), indicating typical but not market-leading cataract surgery volume; by contrast, 99214 ranks at the 95th percentile (#23871 of 479517), showing notably above-typical volume for moderate-complexity established-patient visits. The highly elevated national rank for 99204 (new patient, moderate complexity) — #627 of 227068 at the 100th percentile and labeled an "extreme outlier" — suggests this clinician sees an unusually large number of higher-complexity new patient evaluations relative to peers.

Procedure-level detail supports a surgical cataract-focused practice with ancillary glaucoma and diagnostic services: besides 66984 and 66982 (complex IOL insertion), the presence of glaucoma-related procedure codes such as 65820, 66761, and 65855, and diagnostic imaging codes 92133/92134, 92083, and 92136, indicates this provider performs cataract surgery while also managing glaucoma and performing routine posterior-segment imaging and visual field testing. The revenue mix and code descriptions align with a full-scope ophthalmology practice that combines surgery, glaucoma procedures, and diagnostic testing.

Tenure is long-standing: the NPI was enumerated on 2006-08-17 (~20 years ago), indicating approximately two decades of Medicare registration. This longevity supports interpretation of the billing profile as coming from an established practice rather than a recent entrant.

Several codes show typical national volumes while a few are outliers: many of the diagnostic and E/M codes are in mid-to-high national percentiles labeled "typical, unremarkable volume," but 99204 is an "extreme outlier, far above typical national volume," and 99214 is "notably above typical national volume." These labels point to an unusual concentration of moderate-complexity new patient visits and above-typical established-patient visit volumes relative to national peers, which could reflect referral patterns, clinic structure (e.g., new patient clinics), or regional demand.

Given the Medicare revenue scale ($234.2K) and the code-level concentration, commercial and operational risk is concentrated: with nearly a third of Medicare revenue from 66984 alone ($73.2K) and the top three codes accounting for 63.3% of revenue, any operational disruption to cataract surgery throughput or clinic visit capacity would likely have outsized impact on this provider’s Medicare revenue. Analysts should consider case-mix and scheduling capacity when benchmarking this clinician against peers.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	180	$400	$73.2K
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…	730	$60	$45.4K
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…	370	$80	$29.5K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	40	$510	$18.9K
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…	390	$40	$17.3K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	20	$640	$13.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	50	$240	$11K
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…	70	$50	$3.6K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	20	$160	$3.3K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	180	$20	$3.3K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Gregory Brophey — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	11	20	180	$210	$121.4K
65820	2	10	30	$1,140	$33.1K
66982	3	10	30	$630	$21.3K
66821	8	20	50	$250	$13.2K
99214	14	960	90	$70	$10.6K
99215	382	410	40	$110	$7.2K
99213	69	910	80	$50	$6.7K
92136	11	20	180	$30	$5.6K
92134	18	90	50	$20	$4.3K
99204	1	330	30	$100	$4.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwestern Medical Center, Inc.	VT	Pediatrics Physician	$0	$1.4M
Northwestern Medical Center, Inc.	VT	General Acute Care Hospital	$0	$1.1M
Northwestern Medical Center, Inc.	VT	Urgent Care Clinic/Center	$0	$757.2K
Northwestern Medical Center, Inc.	VT	Pediatrics Physician	$0	$596.5K
Michael Hooker	VA	Orthopaedic Surgery Physician	$382.5K	$0
Northwestern Medical Center Inc	VT	General Acute Care Hospital	$0	$349.6K
Michael Barnum	FL	Orthopaedic Surgery of the Spine Physician	$200.3K	$0
Northwestern Medical Center, Inc.	VT	Family Medicine Physician	$0	$176.8K
Stephanie Neider	VT	Dermatology Physician	$145.1K	$0
Joseph Winget	VT	Cardiovascular Disease Physician	$140.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwestern Counseling & Support Services	VT	Community/Behavioral Health Agency	$0	$129.9M
Northwestern Counseling & Support Services Inc	VT	Community/Behavioral Health Agency	$0	$70.4M
Amcare Medical Systems, Inc.	VT	Land Ambulance	$576.2K	$2.2M
Baart Behavioral Health Services, Inc.	VT	Substance Use Disorder Rehabilitation Clinic/Center	$180.2K	$2.5M
Remy Vallee Dmd Inc	VT	Dentist	$0	$1.1M
Calm Reflections Psychotherapy, LLC	VT	Clinical Social Worker	$0	$840.8K
Northern Valley Eyecare, Inc.	VT	Optometrist	$0	$703.1K
Michelle Pelkey	VT	Clinical Social Worker	$0	$550.9K
Gillian Ireland	VT	Mental Health Counselor	$0	$388.4K
Avalon Natural Medicine Of Vermont, PLLC	VT	Naturopath	$0	$373K

Gregory Brophey — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References