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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

William Brown (NPI 1821012196)

Field	Value
Entity Type	Individual
Organization	William Brown
Address	1 Diamond Hill Rd
City	Berkeley Heights
State	NJ
ZIP	07922
Taxonomy	Gastroenterology Physician
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicare	$143.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

33 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…	250	$110	$26.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	120	$120	$13.3K
43259	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…	80	$140	$10.8K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	50	$200	$10.4K
45390	The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.	30	$300	$10.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	150	$70	$10.1K
43274	The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…	30	$320	$9.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	150	$40	$6.6K
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…	40	$150	$6.4K
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…	90	$70	$6.1K

Showing 1–10 of 33

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

William Brown — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

33 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	302	560	90	$10	$50.8K
45385	259	560	50	$320	$25.4K
85025	476	750	120	$10	$24.2K
99214	4,483	13,640	130	$90	$23.6K
45380	116	590	60	$230	$21.3K
83993	13	20	30	$20	$19.7K
43239	114	610	80	$160	$18.5K
99232	2,822	6,220	120	$70	$18.4K
83550	140	180	30	$10	$17.7K
86140	55	90	50	$10	$15K

Showing 1–10 of 33

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Mccormick	NJ	Diagnostic Radiology Physician	$1.5M	$0
Michael Wax	NJ	Hematology & Oncology Physician	$1.5M	$0
Hari Nadiminti	NJ	Dermatology Physician	$1.3M	$0
Summit Medical Group PA	NJ	Ambulatory Surgical Clinic/Center	$1.1M	$4.9K
Lisa Mills	NJ	Medical Oncology Physician	$911.8K	$0
Jennifer Reeder	NJ	Hematology & Oncology Physician	$816.7K	$0
Eric Mirsky	NJ	Orthopaedic Surgery Physician	$700.6K	$0
Lalitha Anand	NJ	Hematology & Oncology Physician	$658.6K	$0
Molly Gabel	NJ	Radiation Oncology Physician	$597.4K	$0
Vinnie Shah	NJ	Ophthalmology Physician	$542.3K	$0

William Brown — Billing Profile & Reimbursement Data

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William 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

Nearby Providers

Frequently Asked Questions

References