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

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

Derek Brinster (NPI 1881628444)

Field	Value
Entity Type	Individual
Organization	Derek Brinster
Address	130 E 77th St
City	New York
State	NY
ZIP	10075
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$87K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33859	The provider repairs an ascending aortic aneurysm using a graft. She initiates cardiopulmonary bypass during the procedure, which allows the patient's blood to bypass the heart and lungs. She may…	10	$2,110	$23.2K
33405	The provider replaces the aortic valve with an artificial valve (but not a homograft or ventless valve) via open access with the patient on cardiopulmonary bypass. She performs this procedure to…	10	$1,540	$21.5K
33866	During a primary vascular procedure, the provider places a graft in a part of the aortic arch that extends under one or more of the vessels that take off from the arch including isolating and…	10	$820	$10.7K
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…	70	$150	$10.5K
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…	110	$70	$8.4K
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…	70	$110	$7.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$170	$1.8K
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…	20	$110	$1.7K
99442	N/A	20	$80	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Derek Brinster — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33859	3	10	10	$1,880	$37.7K
33405	13	30	10	$1,500	$25.5K
99214	17,748	30,450	90	$100	$19K
99213	12,385	31,440	80	$70	$12.1K
33866	1	10	10	$850	$10.2K
99215	8,089	8,280	40	$140	$10.1K
99204	2,836	14,170	30	$130	$6.6K
99442	1,665	2,510	30	$70	$5.2K
99203	9,002	11,360	30	$90	$4.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lenox Hill Hospital	NY	General Acute Care Hospital	$0	$63.2M
Edward Marcus	NY	Ophthalmology Physician	$3.9M	$1.3M
Retinal Ambulatory Surgery Center Of New York, Inc.	NY	Ambulatory Surgical Clinic/Center	$1.7M	$2.7M
Ben Cohen	NY	Retina Specialist (Ophthalmology) Physician	$2.5M	$942.8K
Sergiu Marcus	NY	Ophthalmology Physician	$1.7M	$706.4K
Leslie Miller	NY	Diagnostic Radiology Physician	$533.7K	$9.5K
Maurice Peters	NY	Diagnostic Radiology Physician	$301.8K	$13.9K
Matthew Hepinstall	NY	Orthopaedic Surgery Physician	$294.6K	$0
Philip Rabito	NY	Specialist	$256.7K	$670
Michael Cellini	NY	Diagnostic Radiology Physician	$237.8K	$0

Derek Brinster — Billing Profile & Reimbursement Data

Sign up for Derek Brinster — Billing Profile & Reimbursement Data policy alerts

Derek Brinster — Billing Profile & Reimbursement Data

Sign up for Derek Brinster — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References