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.

Donald Brown (NPI 1891794277)

Field	Value
Entity Type	Individual
Organization	Donald Brown
Address	25 Medpark Drive
City	Somerset
State	KY
ZIP	42501
Taxonomy	Vascular Surgery Physician
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

Specialty and service mix align with vascular surgery and endovascular practice: the provider’s top-paid Medicare CPT codes are procedure-focused endovascular codes (37229, 37227, 37225) complemented by venous procedures (36475, 36465) and intravascular imaging (37252/37253). This pattern indicates an operator performing both diagnostic vascular imaging and therapeutic endovascular/venous interventions rather than a primarily clinic-based E/M practice.

Revenue concentration on Medicare is high and tightly focused: the practice reports Total Medicare revenue of $1.8M, and the precomputed top-3 Medicare codes (37229, 37227, 37225) account for 65.3% of that Medicare revenue. Each of those three codes is a major revenue driver individually ($513.7K for 37229, $375.7K for 37227, $263.7K for 37225), underscoring dependence on a small set of high-value interventional procedures.

This provider is effectively single-payer from a claims perspective: Total Medicaid revenue is none (no Medicaid billing on file), so all recorded public-payer billing is Medicare. That concentration means the provider’s Medicare utilization trends and payer-policy changes will drive nearly all public-payer revenue risk and opportunity for this practice.

Top-code competitive standing is meaningful but not dominant nationally: 37229 (ranks #63 of 603, 89th percentile), 37227 (ranks #54 of 363, 85th percentile), and 37225 (ranks #90 of 715, 87th percentile) are each described as typical, unremarkable national volumes despite contributing the bulk of revenue. In other words, the provider maintains a solid procedural footprint in these core endovascular codes but is not a national outlier or market leader for those specific services.

Several codes indicate above-typical national penetration for specific services tied to the practice’s procedural mix: 36475 is marked notably above typical national volume (rank #56 of 1221, 95th percentile), and 37221 is also notably above typical national volume (rank #5 of 209, 98th percentile). These higher-than-typical volumes point to concentrated expertise and throughput in venous ablation and particular endovascular procedures beyond the more typical volumes seen for the top three revenue codes.

Operational throughput signals are strong in supportive and procedural services: 99153 (sedation monitoring beyond an initial period) and 76937 (ultrasound guidance for vascular access) both rank in the 99th percentile and are characterized as notably above typical and extreme outlier respectively. High counts for these codes suggest frequent use of monitored sedation and ultrasound-guided access across the provider’s case mix, consistent with a high-volume interventional workflow.

Imaging and diagnostic vascular lab activity appears integrated into the practice: duplex and physiologic codes such as 93925 (239 claims, ranks high nationally) and 93970/93922/93971 show above-typical or high-percentile volumes that support both diagnostic evaluation and peri-procedural planning. This mix reinforces that the practice conducts in-house vascular diagnostics to support its interventional caseload rather than outsourcing those services.

Long tenure in Medicare supports established referral and procedural volumes: the NPI was enumerated 2005-07-19 (~21 years ago), indicating sustained presence in the market. That longevity, combined with concentrated procedural revenue and high-percentile ancillary/procedural codes, is consistent with an established vascular surgery practice with stable referral streams for endovascular and venous interventions.

Medicare: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37229	N/A	90	$5,470	$513.7K
37227	N/A	50	$7,990	$375.7K
37225	N/A	60	$4,470	$263.7K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	170	$820	$140.9K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	110	$970	$108.6K
37252	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	150	$690	$99.5K
37221	N/A	30	$1,580	$53.6K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	240	$160	$38.5K
37228	N/A	10	$1,970	$25.6K
37233	N/A	30	$770	$22.2K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Donald Brown — 11 of 25 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

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37229	1	10	90	$5,460	$513.7K
37227	1	10	20	$7,830	$211.4K
37225	1	10	20	$4,280	$111.4K
36465	2	10	40	$970	$62.3K
36475	2	10	30	$790	$60.8K
37233	1	10	30	$770	$22.2K
37221	1	10	10	$1,150	$20.7K
37252	1	10	20	$540	$19.9K
99214	5,412	7,230	110	$70	$14.1K
35301	13	10	20	$700	$12.6K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salman Mufti	VA	Diagnostic Radiology Physician	$1.2M	$0
Angampally Rajeev	GA	Interventional Cardiology Physician	$1M	$0
Thucanh Multerer	PA	Retina Specialist (Ophthalmology) Physician	$862.9K	$139.4K
Paul Butros	VA	Diagnostic Radiology Physician	$844.4K	$0
Ravi Kamepalli	GA	Infectious Disease Physician	$322.9K	$1.4K
Alain Fondjo Domkam	MS	Vascular Surgery Physician	$251.1K	$0
Muhammad Ahmed	KY	Pulmonary Disease Physician	$228.7K	$0
Houman Tamaddon	GA	Vascular Surgery Physician	$172.2K	$0
Janaki Nadarajah	GA	Podiatrist	$160K	$0
Irfan Waheed	KY	Pulmonary Disease Physician	$158.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Cumberland Reg Mhmr Board, Inc.	KY	Community/Behavioral Health Agency	$0	$140.8M
Brighter Futures Therapy Center, LLC	KY	Case Manager/Care Coordinator	$0	$38.3M
Lake Cumberland Regional Mhmr Board Outpatient	KY	Community/Behavioral Health Agency	$0	$31.2M
Broadening Horizons, Inc.	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$22.4M
Serenity Foundations, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.1M
Community Opportunities, Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.1M
Wecare Medical Homemakers, LLC D.b.a. Hope Of Ky	KY	Developmentally Disabled Services Day Training Agency	$0	$13.2M
Mindsight PLLC	KY	Professional Counselor	$0	$13M
Somerset Mental Health, Psc	KY	Community/Behavioral Health Agency	$0	$12.3M
Lake Cumberland Recovery Inc	KY	Substance Abuse Rehabilitation Facility	$0	$10.8M

Donald Brown — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References