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

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

Brett Taylor (NPI 1780851410)

Field	Value
Entity Type	Individual
Organization	Brett Taylor
Address	337 Hospital Drive
City	Glen Burnie
State	MD
ZIP	21061
Taxonomy	Chiropractor
NPI Enumerated	May 12, 2008

Payer Source	Total Paid
Medicare	$6.4K
Medicaid	$0

Key Findings

BRETT TAYLOR’s Medicare billing is concentrated in spinal manipulation services: the two listed codes, 98940 and 98941, describe chiropractic manipulation in one to two and three to four spinal regions respectively, indicating the practice’s service line is focused on manual spinal adjustments rather than procedural or multi-disciplinary care. These codes together account for the visible service mix on Medicare claims for this provider.

Revenue concentration on Medicare is extreme: the precomputed top 3 codes account for 100.0% of this provider's total Medicare revenue, with 98940 representing $3.9K (61.5% of total Medicare revenue) and 98941 representing $2.5K (38.5% of total Medicare revenue). This two-code concentration explains why total Medicare revenue is modest at $6.4K.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $6.4K while there is no Medicaid billing on file, so the provider’s public-payer footprint is limited to Medicare and there is no evidence here of Medicaid participation. Analysts should treat this entity as Medicare-focused for billing analyses.

Competitive standing by code is modest to low: 98940 ranks #5299 of 12791 providers nationally (58th percentile) and is described as typical, unremarkable volume, indicating average national participation for that service. By contrast, 98941 ranks #23858 of 27092 providers nationally (12th percentile) and is also labeled typical, unremarkable volume — this code’s ranking places the provider toward the lower end of national billers for that service.

Operational scale is small in absolute terms: the dataset shows 219 claims for 98940 at an average paid per claim of $18 and 103 claims for 98941 at an average paid per claim of $24, consistent with higher-frequency, lower-reimbursement chiropractic manipulation services. Those claim counts and average payments align with the modest total Medicare revenue reported and suggest the practice bills many low-dollar services rather than fewer high-dollar procedures.

Tenure is long but billing scale is limited: the NPI was enumerated on 2008-05-12 (~18 years ago), indicating long-standing enrollment in Medicare, yet lifetime Medicare revenue is only $6.4K. This combination suggests either a low-intensity Medicare practice, limited Medicare patient volume, or billing outside the Medicare program for other payers.

For payers and network analysts, this provider represents a low-cost, narrowly focused Medicare billing relationship: the provider’s Medicare footprint is limited in dollars and concentrated in chiropractic manipulations, so its impact on overall Medicare spend and risk pools is minimal based on the available data. Given no Medicaid activity, the provider is unlikely to be a material participant in state Medicaid networks without additional out-of-file information.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	220	$20	$3.9K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	100	$20	$2.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Brett Taylor — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	1	310	350	$30	$16.2K
98940	1	150	180	$20	$6.2K

Brett Taylor — 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

Frequently Asked Questions

References