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

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

David Brown (NPI 1720246689)

Field	Value
Entity Type	Individual
Organization	David Brown
Address	3445 High Point Blvd
City	Bethlehem
State	PA
ZIP	18017
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 28, 2008

Payer Source	Total Paid
Medicare	$125.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 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…	360	$90	$32.7K
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…	200	$120	$23.9K
30117	In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure.	30	$560	$15.8K
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…	220	$70	$14.6K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	110	$100	$11.1K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	80	$130	$10.6K
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…	80	$80	$5.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$140	$3.5K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	110	$30	$3.4K
69433	The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.	20	$130	$2.9K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

David Brown — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
30117	2	10	20	$490	$17.1K
31231	119	320	60	$130	$15K
99214	3,297	23,230	100	$80	$14.5K
99215	4,642	7,170	40	$120	$8.6K
99213	3,687	22,370	70	$60	$7.7K
31575	73	380	60	$90	$6.6K
99204	134	10,290	30	$110	$5K
99203	1,262	7,330	30	$70	$3.5K
69433	10	50	20	$160	$2.8K
69210	171	690	30	$30	$2.8K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Star Community Health, Inc	PA	Federally Qualified Health Center (FQHC)	$0	$45.6M
St. Luke's Physician Group, Inc.	PA	Emergency Medicine Physician	$0	$28.8M
St. Luke's Hospital	PA	General Acute Care Hospital	$0	$23.4M
St Lukes Hospital	PA	General Acute Care Hospital	$0	$20.8M
St Lukes Hospital-anderson Campus	PA	General Acute Care Hospital	$0	$8.5M
St Luke's Hospital	PA	General Acute Care Hospital	$0	$7M
St. Luke's Physician Group, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Ellen Field	PA	Rheumatology Physician	$2.1M	$0
Timothy Howard	PA	Rheumatology Physician	$1.5M	$0
Joseph Zaladonis	PA	Specialist	$1.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$27.9M
Lifepath, Inc.	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.3M
Progressive Physician Assoc Inc	PA	Diagnostic Radiology Physician	$0	$8M
Children's Surgery Center Of Lehigh Valley, LLC	PA	Ambulatory Surgical Clinic/Center	$0	$7.2M
City Of Bethlehem	PA	Land Ambulance	$876.2K	$3.4M
Sltlbk Associates, LLC	PA	Ophthalmologic Surgery Clinic/Center	$3.6M	$15K
David Vasily	PA	Dermatology Physician	$1.1M	$0
Nicole Chiappetta	PA	Rheumatology Physician	$625K	$0
Valley Kidney Specialists, PC	PA	Ambulatory Surgical Clinic/Center	$599.3K	$1.7K
Christopher Ferrante	PA	Adult Reconstructive Orthopaedic Surgery Physician	$434.3K	$0

David Brown — 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