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

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

Melissa Brown (NPI 1902040033)

Field	Value
Entity Type	Individual
Organization	Melissa Brown
Address	3295 East Causeway Approach
City	Mandeville
State	LA
ZIP	70448
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	April 20, 2009

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

This provider reports $3M in lifetime Medicare revenue and no Medicaid billing on file, making its public payer footprint effectively single-payer Medicare for the observed period. The absence of any Medicaid codes or revenue indicates no recorded participation in state Medicaid billing on this profile.

Revenue is extremely concentrated: the precomputed top-3 Medicare codes account for 100.0% of the provider's Medicare revenue, and a single code, K1034, is listed as generating $3.1M in revenue. That concentration means virtually all reported Medicare dollars are tied to one discrete service line rather than a diversified portfolio of evaluation-and-management or procedure codes.

The code mix indicates a focused operational model: K1034 is for provision of nonprescription, self‑administered and self‑collected COVID-19 tests, so the provider’s billed activity appears to be high-volume distribution or provision of over‑the‑counter COVID tests rather than traditional clinic-based office visits or advanced procedures. This pattern is consistent with an operation that transacts large volumes of low-unit-value test items rather than time‑intensive clinical services.

Claim-level economics are strongly volume-driven: K1034 is reported with 258.5K claims and an average paid amount of $12 per claim, yielding the $3.1M revenue figure attributed to that code. The low average payment per claim and very large claim count point to a volume-first reimbursement model where total revenue is a function of high throughput rather than high per-service margins.

Nationally, the provider is a standout on this code: K1034 ranks #114 of 30143 providers and is described as an "extreme outlier, far above typical national volume for this code" in the provided benchmarking. That rank and percentile language characterize the provider as a dominant national participant for K1034 compared with peers, not a modest or typical biller for this commodity.

The provider has an NPI enumeration date of 2009-04-20 (~17 years ago), indicating a long-tenured enrollment in the provider registry. Despite long tenure, the current Medicare billing profile is highly specialized and dominated by the single COVID-test code rather than a broader set of Medicare services.

Because 100.0% of reported Medicare revenue is tied to K1034, the provider has very limited service diversification in its Medicare billing; any reimbursement policy change, eligibility adjustment, or demand shift affecting nonprescription self‑administered COVID-19 tests could materially affect its Medicare revenue. Analysts should view the revenue stream as concentrated and potentially sensitive to payer policy and public-health testing demand fluctuations.

From a payer or competitive contracting perspective, this provider should be treated as a specialized high-volume supplier for K1034 rather than a general ambulatory care partner. The combination of no Medicaid activity, a single high-volume Medicare code, and a top‑rank national position for that code suggests a niche operational role in the testing market rather than a traditional primary‑care or multiservice provider profile.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	258,490	$10	$3.1M

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Melissa Brown — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	3	410	250	$10	$57.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fphsa Fontainebleau Treatment Center	LA	Substance Abuse Rehabilitation Facility	$0	$5.8M
Volunteers Of America Southeast Louisiana, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$5.7M
St. Tammany Parish Fire Protection District No 4	LA	Land Ambulance	$424.3K	$1.7M
Clinicore	LA	Clinical Medical Laboratory	$938.2K	$910.6K
Randall Juleff	LA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$510.6K	$0
Hyon Kim	LA	Psychiatry Physician	$125.8K	$138.2K
Brandon Lee	LA	Physical Therapist	$192.9K	$0
Bruce Ennis	LA	Interventional Cardiology Physician	$154.3K	$1.5K
Thomas Myers	LA	Pain Medicine (Anesthesiology) Physician	$138.1K	$0
Hayden Ingram	LA	Physician Assistant	$23.6K	$0

Melissa Brown — Billing Profile & Reimbursement Data

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Melissa 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

Nearby Providers

Frequently Asked Questions

References