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

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

Julia Breton (NPI 1912267915)

Field	Value
Entity Type	Individual
Organization	Julia Breton
Address	163 Gore St
City	Cambridge
State	MA
ZIP	02141
Taxonomy	Geriatric Medicine (Family Medicine) Physician
NPI Enumerated	May 23, 2012

Payer Source	Total Paid
Medicare	$38.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	240	$30	$7.4K
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	$100	$6.5K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	130	$40	$5K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	130	$40	$4.8K
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…	30	$140	$4.6K
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…	30	$70	$1.8K
99453	The provider sets up equipment for remote physiologic monitoring and educates the patient on how to use it.	120	$20	$1.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$90	$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	$80	$1.5K
99443	N/A	10	$90	$1.2K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Julia Breton — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,852	15,410	110	$80	$15.6K
99233	3,633	4,170	70	$100	$12.6K
99232	4,957	5,400	70	$60	$9.3K
99215	3,617	6,360	40	$120	$8.9K
99213	11,025	13,700	70	$60	$8.8K
99457	40	90	120	$40	$8.3K
99454	36	70	130	$40	$8.1K
99458	22	60	140	$30	$8K
99222	3,253	3,420	30	$100	$4.5K
99203	3,214	4,290	30	$80	$4.1K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vinfen Corporation	MA	Community/Behavioral Health Agency	$0	$58.1M
Joseph Young	MA	Neuroradiology Physician	$216.3K	$41.2K

Julia Breton — Billing Profile & Reimbursement Data

Sign up for Julia Breton — Billing Profile & Reimbursement Data policy alerts

Julia Breton — Billing Profile & Reimbursement Data

Sign up for Julia Breton — 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