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.

Paul Brach (NPI 1811940406)

Field	Value
Entity Type	Individual
Organization	Paul Brach
Address	1145 Bower Hill Rd
City	Pittsburgh
State	PA
ZIP	15243
Taxonomy	Physical Therapist
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicare	$38.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,460	$20	$27.7K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	430	$20	$6.9K
97022	The whirlpool method of treatment is a form of hydrotherapy that uses circulating water and air with varied temperature and pressure settings for the treatment of certain disorders. The whirlpool is…	220	$10	$2K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	20	$70	$1.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	20	$20	$460

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Paul Brach — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	537	3,260	600	$20	$15.3K
97140	988	2,640	310	$20	$7.6K
97535	594	670	90	$20	$5.2K
97161	816	1,340	30	$70	$2.8K
97022	4	40	80	$10	$920

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aaron Wang	PA	Ophthalmology Physician	$380.5K	$10.1K
Dermatology & Cosmetic Surgery Center PC	PA	Ambulatory Surgical Clinic/Center	$335.1K	$0
Justin Vujevich	PA	MOHS-Micrographic Surgery Physician	$197K	$0
Anthony Little	PA	Dermatology Physician	$166.5K	$0
Kevin Bordeau	PA	Specialist	$151.3K	$90
Jay Lutins	PA	Urology Physician	$128.4K	$1.2K
Stephen Basheda	PA	Pulmonary Disease Physician	$75K	$45.3K
Shailen Sehgal	PA	Urology Physician	$100.9K	$0
Karthik Dwarki	PA	Interventional Pain Medicine Physician	$69.1K	$13.4K
Ellen Wolfe	PA	Optometrist	$64.3K	$3.3K

Paul Brach — Billing Profile & Reimbursement Data

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Paul Brach — 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