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

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

Brian Johnston (NPI 1871668525)

Field	Value
Entity Type	Individual
Organization	Brian Johnston
Address	1532 Lone Oak Rd
City	Paducah
State	KY
ZIP	42003
Taxonomy	Medical Physician Assistant
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicare	$67.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	540	$70	$38.6K
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…	360	$50	$17.9K
99203	The provider sees a new 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 provider…	70	$60	$4K
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…	30	$100	$2.8K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	770	$1	$2.3K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	250	$10	$1.7K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	30	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Brian Johnston — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	532	7,230	110	$70	$14.1K
99213	678	7,250	80	$50	$7.7K
99204	1,774	3,200	30	$100	$4.8K
99203	476	2,380	30	$70	$2.9K
51798	20	120	80	$10	$850
81001	8	200	50	$1	$500
81003	558	1,240	30	$1	$150

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Physicians Kentucky LLC	KY	Family Medicine Physician	$0	$11.9M
Mustafa Hindi	IL	Emergency Medicine Physician	$107.8K	$744.8K
Aalap Majmudar	KY	Internal Medicine Physician	$638.7K	$0
Jessica Frizzell	KY	Medical Physician Assistant	$625.9K	$0
Peter Locken	KY	Radiation Oncology Physician	$426K	$0
Valerie Mcnamara	KY	Family Nurse Practitioner	$312.6K	$0
Sanjay Bose	KY	Interventional Cardiology Physician	$296.5K	$7.9K
John Migliano	AZ	Hematology & Oncology Physician	$300.2K	$0
Robert Lipson	AZ	Urology Physician	$275.2K	$0
Anil Mani	KY	Interventional Cardiology Physician	$254.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$72.6M
Mercy Health-lourdes Hospital LLC	KY	General Acute Care Hospital	$0	$61.9M
Baptist Health Medical Group Inc	KY	Family Medicine Physician	$0	$21.9M
Ambulatory Surgery Center LLC	KY	Ambulatory Surgical Clinic/Center	$771.4K	$8.7M
Joseph Blackmon	KY	MOHS-Micrographic Surgery Physician	$6.9M	$0
John Colgan Jr.	KY	Pediatric Dentistry	$0	$5.6M
Mercy Health Physicians Kentucky Specialty Care LLC	KY	Surgery Physician	$0	$4.7M
Justin Colgan	KY	Pediatric Dentistry	$0	$4.6M
Paducah Ophthalmology Asc LLC	KY	Ambulatory Surgical Clinic/Center	$1.3M	$467.8K
Halden Ford	KY	Dermatology Physician	$1.3M	$4.5K

Brian Johnston — Billing Profile & Reimbursement Data

Sign up for Brian Johnston — Billing Profile & Reimbursement Data policy alerts

Brian Johnston — Billing Profile & Reimbursement Data

Sign up for Brian Johnston — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References