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    OpenPayerNPI Medicare & MedicaidBrent Flickinger
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    Brent Flickinger — Billing Profile & Reimbursement Data

    NPI 1902914872 · Gainesville, GA · Rheumatology Physician

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    Brent Flickinger is a rheumatology physician provider located in Gainesville, Georgia. This profile covers 45 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrent Flickinger
    Address700 S Enota Dr Ne
    CityGainesville
    StateGA
    ZIP30501
    TaxonomyRheumatology Physician
    NPI EnumeratedAugust 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    This provider’s billing is concentrated almost entirely in Medicare: lifetime Medicare revenue is $2.3M and there is no Medicaid billing on file, so the practice operates effectively as a single-payer (Medicare) outpatient rheumatology site. The precomputed concentration is high — the top 3 Medicare codes account for 63.8% of the provider’s total Medicare revenue — which implies revenue drivers are tightly focused on a few services.

    The revenue mix is dominated by biologic drug administration: J0129 accounts for $782K (33.6% of Medicare revenue), J9312 accounts for $377.1K (16.2%), and J3262 accounts for $323.8K (13.9%). Together these drug/infusion codes drive the majority of income and are consistent with a rheumatology practice that delivers in‑office biologic infusions or supervised injections rather than relying on E/M visits for most revenue.

    Operationally, the practice supports infusion and administration workflows: infusion/chemotherapy administration codes 96413 ($25.1K), 96365 ($21.2K), and the infusion add‑on 96415 ($5.1K) are present on the profile, indicating regular in‑office intravenous/subcutaneous administration and associated chair time. These ancillary administration codes complement the high-dollar biologic J‑codes and suggest on-site nursing and infusion resources to manage biologic therapies.

    Clinical support services are present but modest relative to drug revenue: routine lab and diagnostic codes such as 80053 ($8.8K), 86140 ($3.4K), 86160 ($2.6K), 82306 ($2.2K), and 36415 ($6.2K) appear in the top 25 but together represent small shares of total Medicare revenue. This pattern — high drug/administration revenue with smaller ancillary testing and procedure revenue — is typical for subspecialty clinics that center on ongoing biologic treatment and disease monitoring.

    Competitive standing on the top biologics shows above‑median national placement but is described in the source labels as typical: J0129 ranks #98 of 1221 (92th percentile; typical, unremarkable volume for this code), J9312 ranks #42 of 317 (87th percentile; typical, unremarkable volume for this code), and J3262 ranks #153 of 618 (75th percentile; typical, unremarkable volume for this code). In plain terms, the provider treats biologic therapies at volumes above the national median for these agents but the supplied descriptors characterize that activity as within expected norms rather than an extreme outlier.

    Service mix shows reimbursement centered on drugs rather than office E/M revenue: the E/M code 99214 contributes $63K (2.7% of Medicare revenue) while the top J‑code J0129 alone is $782K (33.6%). This indicates the practice’s financial model is driven by drug administration reimbursements rather than high volumes of higher‑level evaluation and management visits.

    One specific utilization signal stands out statistically: 99214 is labeled in the source as "notably above typical national volume for this code" (rank #25597 of 479517; 95th percentile), which suggests the provider delivers a relatively high number of moderate-complexity established-patient visits compared with national peers. Combined with the biologic administration profile, this may reflect ongoing chronic care management visits tied to biologic therapy oversight.

    The provider’s tenure is long and stable: NPI enumerated on 2006-08-29 (~20 years ago), which supports interpretation of these billing patterns as established practice behavior rather than a short‑term fluctuation. Given the absence of Medicaid billing, the practice’s patient panel and revenue exposure are skewed toward Medicare beneficiaries and the clinical workflows and pricing associated with biologic infusions in that population.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)23,000$30$782K
    J9312Injection, rituximab, 10 mg5,990$60$377.1K
    J3262Injection, tocilizumab, 1 mg64,760$10$323.8K
    J1602Injection, golimumab, 1 mg, for intravenous use25,570$10$281.3K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)55,600$1$222.4K
    99214The 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…710$90$63K
    J3111Injection, romosozumab-aqqg, 1 mg6,510$10$52.1K
    J1745Injection, infliximab, excludes biosimilar, 10 mg1,910$30$47.8K
    Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg1,550$30$45K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…270$90$25.1K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01294309,660$30$403.6K
    J93124104,620$60$307.4K
    J160283017,200$10$240.1K
    J326231045,840$1$233.4K
    J071742038,000$1$199.3K
    J3111182012,810$10$172.9K
    J174516302,160$30$96.6K
    J08972402902,460$20$90.2K
    Q51044102,320$30$71.3K
    9641350160170$90$20.3K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William ChafinGARheumatology Physician$3.3M$0
    Taylor MaderSCRheumatology Physician$3.1M$0
    Dean StephensGARheumatology Physician$2.7M$0
    Charles DegenhardtGARheumatology Physician$2.4M$0
    Paul SutejGARheumatology Physician$2.4M$0
    Durga AdhikariSCRheumatology Physician$2.4M$0
    Marta BognarGARheumatology Physician$2.3M$0
    Kathleen FlintSCRheumatology Physician$2.3M$0
    Colin EdgertonSCRheumatology Physician$1.9M$0
    John BrittisSCRheumatology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Georgia Medical Center, Inc.GAGeneral Acute Care Hospital$0$112.9M
    Georgia Emergency Department Services, P.C.GAEmergency Medicine Physician$0$17.9M
    S.y.a.h.GAUrgent Care Clinic/Center$0$6.5M
    Pediatric Associates LLPGAPediatrics Physician$0$5M
    Gainesville Radiology Group, PCGADiagnostic Radiology Physician$0$2M
    Hall County GeorgiaGALand Ambulance$1.6M$0
    Northeast Georgia Physicians Group Urgent Care LLCGAFamily Medicine Physician$0$1.6M
    Timothy CareyGAMedical Oncology Physician$1.5M$0
    Gainesville Surg Ctr LPGAAmbulatory Surgical Clinic/Center$1.4M$0
    Gainesville Eye Center, LLCGAAmbulatory Surgical Clinic/Center$1.4M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Brent Flickinger — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia