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NPI 1861426173 · Altoona, PA · Gastroenterology Physician
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Ronald Brzana is a gastroenterology physician provider located in Altoona, Pennsylvania. This profile covers 20 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ronald Brzana |
| Address | 810 Valley View Blvd |
| City | Altoona |
| State | PA |
| ZIP | 16602 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | July 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $74.1K |
| Medicaid | $38.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 110 | $200 | $22.2K |
| 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… | 270 | $30 | $7K |
| 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. | 90 | $70 | $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 | $110 | $5K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 40 | $140 | $4.8K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 70 | $70 | $4.4K |
| 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… | 50 | $60 | $3.2K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $180 | $2.9K |
| 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… | 30 | $90 | $2.6K |
| 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,… | 50 | $50 | $2.6K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 449 | 620 | 530 | $40 | $50.4K |
| 45385 | 163 | 860 | 50 | $290 | $24.3K |
| 96413 | 294 | 300 | 140 | $100 | $19.8K |
| 99214 | 19,400 | 23,230 | 100 | $80 | $14.5K |
| 87077 | 19 | 20 | 110 | $10 | $13.5K |
| 45380 | 409 | 840 | 40 | $180 | $12.5K |
| G0105 | 369 | 500 | 30 | $270 | $12.4K |
| 43239 | 200 | 880 | 50 | $130 | $9.6K |
| 99232 | 6,743 | 10,870 | 80 | $60 | $9.6K |
| 99223 | 3,585 | 7,020 | 40 | $130 | $7.8K |
Showing 1–10 of 20
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 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… | 510 | $40 | $20.9K |
| 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… | 320 | $30 | $8.3K |
| 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. | 80 | $100 | $8K |
| 99244 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider… | 10 | $120 | $1.7K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 154 | 290 | 90 | $290 | $85.6K |
| 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… | 2,762 | 8,160 | 210 | $60 | $68.4K |
| 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… | 3,921 | 8,870 | 240 | $40 | $56.1K |
| 99244 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider… | 247 | 310 | 70 | $160 | $53.9K |
Other providers in the same ZIP code as Ronald Brzana, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| North Star Services, Inc. | PA | Case Management Agency | $0 | $21M |
| Pyramid Healthcare Inc. | PA | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $14.3M |
| Blair Family Solutions, LLC | PA | Community/Behavioral Health Agency | $0 | $9.6M |
| Altoona Logan Twp Mobile Med Emerg Dept Authority | PA | Ambulance | $924.6K | $5.3M |
| George Jabbour | PA | Cardiovascular Disease Physician | $882.6K | $732.1K |
| Advanced Center For Surgery, LLC | PA | Ambulatory Surgical Clinic/Center | $1.5M | $0 |
| Ziad Khoury | PA | Cardiovascular Disease Physician | $1.1M | $151.8K |
| Allegheny Surgery Center LLC | PA | Ambulatory Surgical Clinic/Center | $770.6K | $361.2K |
| Blair Endoscopy Center, LLC | PA | Endoscopy Clinic/Center | $579.7K | $325.8K |
| Gregory Fulchiero | PA | MOHS-Micrographic Surgery Physician | $842.2K | $0 |
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