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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Michael Brancaccio (NPI 1740262930)

Field	Value
Entity Type	Individual
Organization	Michael Brancaccio
Address	1150 Varnum St Ne
City	Washington
State	DC
ZIP	20017
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	November 15, 2005

Payer Source	Total Paid
Medicare	$950.6K
Medicaid	$0

Key Findings

This profile is effectively a Medicare-only billing practice: total Medicare revenue is $950.6K and there is no Medicaid billing on file, so the provider’s payer exposure is concentrated in Medicare revenue streams rather than a mixed Medicare/Medicaid book of business. The absence of any Medicaid claims limits in‑state payer diversification and routes all reimbursement sensitivity through Medicare policy and fee schedules.

Revenue is highly concentrated in a small set of services: the precomputed top-three codes (88120, G0416, 88342) account for 76.1% of this provider’s Medicare revenue. Individually those codes generated $441.7K (88120, 46.5%), $148.2K (G0416, 15.6%), and $132.6K (88342, 14.0%), showing reliance on a narrow set of high-yield pathology services.

The code mix indicates a specialist pathology operation focused on tissue and cytology diagnostics with substantial use of specialized testing: 88120 (in situ hybridization on urinary tract specimens) and 88342 (initial single antibody immunostain interpretation) together point to molecular/cytogenetic and immunohistochemical workflows, while G0416 reflects a large volume of prostate needle biopsy surgical pathology. Together these codes imply the practice performs high-throughput slide staining and interpretation rather than primary care or procedure-based outpatient visits.

Competitive standing varies by service: G0416 is an outlier nationally (ranks #35 of 2465, 99th percentile; extreme outlier, far above typical national volume) indicating unusually high prostate biopsy pathology volume for this provider, while 88342 also ranks highly (rank #128 of 11370, 99th percentile; notably above typical national volume) showing above-typical activity in immunohistochemistry. In contrast, 88120 ranks #14 of 232 (94th percentile; typical, unremarkable volume for this code), so not all high-dollar lines are uniformly exceptional versus national peers.

Operational throughput appears high: several high-revenue codes show large claim counts — 88342 (1.8K claims), 88313 (1.8K claims), and 88112 (1.8K claims) — which is consistent with a lab-style workflow processing many slides and stains per provider. The combination of high claim counts and mid-range average paid per claim (for example $72 for 88342 and $48 for 88112) indicates volume-driven revenue rather than reliance on single high-paid procedures.

The provider’s billing mix retains some broader surgical pathology labor lines alongside the high-volume specialty codes: 88305 appears with 605 claims and $33.9K revenue (3.6% of total Medicare revenue) and is a more typical-volume code (rank #6333 of 14580, 57th percentile). This suggests the practice still performs conventional level IV surgical pathology in addition to its concentrated molecular and immunostain activity.

Tenure and registration history show this provider has a long-established Medicare presence: NPI enumerated 2005-11-15 (~21 years ago). That extended enrollment period supports interpretation of the current billing pattern as a sustained operational model rather than a short-term fluctuation.

The concentration in a few high-revenue codes plus the lack of Medicaid billing creates operational and reimbursement risk: with 76.1% of Medicare revenue coming from the top three codes, changes in reimbursement or utilization patterns for 88120, G0416, or 88342 would disproportionately affect total revenue. Absent Medicaid revenue to offset Medicare-specific pressures, payer-reimbursement policy changes targeting those services could materially impact the provider’s topline.

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88120	The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…	870	$510	$441.7K
G0416	Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	520	$290	$148.2K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	1,840	$70	$132.6K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	1,840	$60	$105K
88112	Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…	1,850	$50	$88.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	610	$60	$33.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Michael Brancaccio — 5 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88120	1	10	50	$480	$148.2K
88305	17	60	200	$40	$36.8K
G0416	1	10	30	$240	$22.7K
88342	2	50	110	$40	$11.8K
88313	2	20	100	$20	$9.3K
88112	1	20	150	$40	$8.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Arundel Urological Surgery Center LLC	MD	Ambulatory Surgical Clinic/Center	$2.9M	$-2740
Daniel Bodmer	NY	Vascular & Interventional Radiology Physician	$1.8M	$0
Michael Ballo	MD	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$0
Vladimir Ioffe	MD	Radiation Oncology Physician	$746.8K	$0
Jiakai Zhu	MD	Urology Physician	$650.2K	$0
Charles Beamon	VA	Urology Physician	$467.5K	$0
James Song	MD	Urology Physician	$459.4K	$0
David Mcdermott	MD	Urology Physician	$418.5K	$0
Eric Schwartz	MD	Urology Physician	$411.2K	$0
Kari Bailey	MD	Urology Physician	$404K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Own Place, Inc.	DC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$48.7M
Anchor Mental Health Association	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22M
Hsc Home Care, LLC	DC	Home Health Agency	$0	$14.7M
Providence Health Services Inc	DC	Family Medicine Physician	$0	$13.4M
Providence Hospital	DC	General Acute Care Hospital	$0	$12.2M
American Health Care Services Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.3M
Hospital For Sick Children	DC	Special Hospital	$0	$4.7M
United Cerebral Palsy Of Washington & No. Virginia, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$4.4M
Gerald Family Care	DC	Family Medicine Physician	$0	$3.2M
Cheryl Lee	DC	Dentist	$0	$2.5M

Michael Brancaccio — Billing Profile & Reimbursement Data

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Michael Brancaccio — 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