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

Why is the Medicaid comparison limited to Maine 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. Maine (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 Knighton (NPI 1700824000)

Field	Value
Entity Type	Individual
Organization	Brian Knighton
Address	42 Mallett Dr
City	Freeport
State	ME
ZIP	04032
Taxonomy	Family Medicine Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicare	$20.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$70	$9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	$110	$8K
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…	60	$40	$2.1K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	60	$10	$830
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	40	$10	$380
82947	The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.	90	$1	$340
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	20	$10	$140
82570	The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	20	$10	$120

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Brian Knighton — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	747	2,500	70	$70	$7.2K
G0439	202	650	50	$70	$4.3K
99213	1,058	2,350	50	$50	$4.3K
80061	60	170	50	$10	$1.6K
83036	94	230	40	$10	$690
82570	16	40	20	$10	$530
82043	27	70	20	$10	$310
82947	2	10	60	$1	$200

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Maine Geriatrics Associates LLC	ME	Geriatric Medicine (Internal Medicine) Physician	$0	$608.1K
Town Of Freeport	ME	Land Ambulance	$154K	$389.3K
Jennifer Shaw	ME	Family Nurse Practitioner	$87.4K	$0
Cvs State Capital, L.L.C.	ME	Pharmacy	$77.4K	$0
Carol Talbot	ME	Physician Assistant	$60.2K	$0
Jacey Goddard	ME	Neuromusculoskeletal Medicine & OMM Physician	$46.6K	$0
Daniel Gibbons	ME	Neuromusculoskeletal Medicine & OMM Physician	$38K	$0
John Haldeman	ME	Physical Therapist	$27.5K	$0
Amin Saab	ME	Physical Therapist	$26.8K	$0

Brian Knighton — Billing Profile & Reimbursement Data

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Brian Knighton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References