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

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

Brent Mohr (NPI 1710977319)

Field	Value
Entity Type	Individual
Organization	Brent Mohr
Address	211 N Eddy St
City	South Bend
State	IN
ZIP	46617
Taxonomy	Rheumatology Physician
NPI Enumerated	October 25, 2005

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

BRENT MOHR is a long-tenured Rheumatology Physician with an NPI enumerated on 2005-10-25 (≈21 years), indicating an established Medicare billing history and likely a stable outpatient infusion/injection practice. The provider’s lifetime Medicare revenue is $1.6M and there is no Medicaid billing on file, making this effectively a single-payer (Medicare-focused) billing profile.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 85.5% of this provider’s total Medicare revenue, signaling heavy dependence on a small set of injectable biologic therapies rather than routine office visits or broad ambulatory services. The three largest contributors by revenue are J0129, J3262, and J0897 based on the top-codes list.

The practice profile implied by the top CPT/HCPCS codes is an infusion- and injection-focused rheumatology service line: J0129 (abatacept), J3262 (tocilizumab), J0897 (denosumab) plus billed infusion administration codes such as 96365 and 96366 point to on-site biologic drug administration and associated infusion services rather than primarily cognitive E/M office visits. Relatively low revenue from standard office visit codes (99213, 99214) reinforces that the business model centers on drug administration.

Competitive standing varies by drug: J3262 (tocilizumab) activity is notably above typical national volume, ranking #35 of 618 providers (94th percentile), which suggests this provider is a major national participant for tocilizumab administration. By contrast, J0129 (abatacept) and J0897 (denosumab) show typical, unremarkable volumes relative to peers (J0129 at the 90th percentile, J0897 at the 90th percentile by rank descriptions), indicating strong but not dominant participation for those codes.

Service-intensity metrics support an infusion-centric operation: the provider reports 821 claims for 96365 (initial IV infusion) ranking in the 98th percentile nationally, and 134 claims for 96366 (additional infusion hours) at the 68th percentile. High relative volume of infusion administration codes combined with large single-code revenues (J0129 $718.3K, J3262 $463.5K, J0897 $192.3K) indicate that drug reimbursement is the principal revenue driver rather than office-based evaluation and management.

Payer mix is concentrated: with $1.6M in Medicare revenue and no Medicaid billing on file, this provider’s exposure and commercial negotiation leverage will be driven by Medicare experience and utilization patterns. Absence of Medicaid activity limits insights into state-level Medicaid competitiveness and suggests either no Medicaid panel or no billed services to Medicaid during the measured period.

Clinic-level visit volume is modest relative to infusion activity: office E/M code 99213 yielded $38.6K across 702 claims (97th percentile by rank), which shows many established patient encounters but low per-claim revenue compared with biologic drug codes; this pattern is consistent with frequent follow-up/medication management visits that accompany on-site infusion services. The combination of high claim counts for low-reimbursement office codes and large revenue lines from J-codes further underscores a drug-centered revenue mix.

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, 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)	21,130	$30	$718.3K
J3262	Injection, tocilizumab, 1 mg	115,880	$1	$463.5K
J0897	Injection, denosumab, 1 mg	10,680	$20	$192.3K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	4,820	$30	$120.6K
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…	700	$60	$38.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	820	$40	$35.3K
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…	100	$90	$9.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	100	$30	$3.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	400	$10	$3.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	380	$10	$3K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Brent Mohr — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	4	30	10,630	$30	$391.1K
J3262	2	10	46,210	$1	$263.4K
J1745	7	20	3,990	$30	$119.4K
J0897	15	220	2,730	$20	$74.9K
96413	92	120	140	$90	$19.1K
99214	5,551	10,540	110	$80	$15.5K
80053	60	230	90	$10	$8.5K
96401	59	60	100	$50	$8K
99213	244	10,820	80	$50	$7.6K
85025	69	290	90	$10	$5.7K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
The South Bend Clinic LLC	IN	Clinic/Center	$566.3K	$19.3M
Sayuri Cheruvu	IN	Medical Oncology Physician	$934.1K	$0
Holly Hake-harris	IN	Dermatology Physician	$840.9K	$0
Lisansha Zahirsha	IL	Diagnostic Radiology Physician	$665.6K	$3.3K
Todd Rozycki	IN	Dermatology Physician	$633.1K	$0
Abdulrahman Masrani	IL	Diagnostic Radiology Physician	$581.5K	$1.4K
Michael Choe	IL	Diagnostic Radiology Physician	$545.3K	$4.5K
Amany Aziz	IL	Diagnostic Radiology Physician	$514.5K	$1K
David Choe	IL	Diagnostic Radiology Physician	$483.3K	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Dental Center Of South Bend LLC	IN	Pediatric Dentistry	$0	$15.9M
William Paul	IN	Oral and Maxillofacial Surgery (Dentist)	$0	$5.4M
Divine Interventions Inc.	IN	In Home Supportive Care Agency	$0	$2.6M
Ahmed Abdel-latief	IN	Cardiovascular Disease Physician	$248K	$0
Brett Stephens	IN	Diagnostic Radiology Physician	$230.9K	$0
Rita Schmid	IN	Internal Medicine Physician	$229.8K	$0
Jonathan Mccrea	IN	Diagnostic Radiology Physician	$172K	$0
Ron Clark	IN	Orthopaedic Surgery Physician	$117.7K	$52.2K
Rachelina Kvietkus	IN	Internal Medicine Physician	$155.2K	$0
Vu Nguyen	IN	Diagnostic Radiology Physician	$140.6K	$0

Brent Mohr — 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