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

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

Mark Brigham (NPI 1740261387)

Field	Value
Entity Type	Individual
Organization	Mark Brigham
Address	195 Wadsworth Rd
City	Wadsworth
State	OH
ZIP	44281
Taxonomy	Otolaryngology Physician
NPI Enumerated	November 10, 2005

Payer Source	Total Paid
Medicare	$70K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$60	$13.6K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1,350	$10	$13.5K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	1,140	$10	$9.1K
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.	60	$90	$5.3K
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…	60	$90	$4.8K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	190	$30	$4.8K
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,…	110	$40	$4K
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.	30	$120	$3.9K
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…	60	$70	$3.9K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	220	$10	$2.4K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Mark Brigham — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95165	29	90	790	$10	$14.1K
99214	13,304	20,010	100	$70	$11.7K
99213	3,032	20,000	70	$50	$6.6K
31231	107	180	40	$110	$6.5K
31575	84	270	40	$80	$4.2K
95117	14	120	310	$10	$3.9K
99203	1,538	6,380	30	$60	$2.9K
92557	54	360	90	$20	$2.5K
69210	239	450	40	$30	$2.3K
99212	425	4,100	30	$30	$1.7K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regis Burlas	OH	Anesthesiology Physician	$9.5K	$1.3M
Jason Kucharski	OH	Orthopedic Physical Therapist	$91.3K	$0
Stephanie Vinyard	OH	Physical Therapist	$51.1K	$0
Patrick Fox	OH	Physical Therapist	$43.2K	$0
Makenzie Karr	OH	Physical Therapist	$33.7K	$0
Benjamin Romanski	OH	Physical Therapist	$33.4K	$0
Kyle Milligan	OH	Physical Therapist	$33K	$0
Leah Kline	OH	Medical Physician Assistant	$12.6K	$0

Mark Brigham — Billing Profile & Reimbursement Data

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Mark Brigham — 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