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

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

Brooke Raney (NPI 1922563063)

Field	Value
Entity Type	Individual
Organization	Brooke Raney
Address	2353 Se 14th St
City	Des Moines
State	IA
ZIP	50320
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 3, 2019

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider’s Medicare business is concentrated and mid-sized overall: reported Total Medicare revenue is $1.6M, and the precomputed top 3 codes account for 99.5% of this provider's total Medicare revenue, indicating the practice’s Medicare income is almost entirely driven by a very small set of drug-administration codes. Non-drug administration CPTs (96401, 96365, 96372) together contribute only a trivial share of revenue, underscoring that drug injection services are the primary revenue stream.

J3245 is overwhelmingly the revenue driver for this provider: 13.6K claims at $110 avg paid/claim produced $1.5M in revenue (93.7% of this provider's total Medicare revenue). The provider ranks #7 of 225 nationally for J3245 and is described as 97th percentile — a national-level volume outlier that places this clinician among the largest billers of this specific biologic.

The other two high-revenue Medicare drugs are much smaller contributors: J1306 produced $76.7K (4.8% of Medicare revenue) across 8.5K claims at $9 avg paid/claim and ranks #216 of 462 providers (52th percentile), a typical national volume; J0897 produced $14.8K (0.9% of Medicare revenue) across 780 claims at $19 avg paid/claim and ranks #9681 of 10057 providers (3th percentile), also described as typical and unremarkable. Together these figures show the provider’s book is dominated by a single biologic (J3245) with two much smaller, routine injectable codes completing the concentrated mix.

From a service-line perspective, the CPT/HCPCS mix indicates an operation focused on outpatient administration of high-cost injectable biologic agents rather than broader primary-care procedure volume. The prominence of J3245 (tildrakizumab) plus additional injectable administrations suggests the practice is set up to deliver recurring specialty injections to a large panel of Medicare patients, with ancillary administration codes appearing only at low volumes.

Payer mix is effectively single-payer at the claim level: the provider reports $1.6M in Medicare revenue and has no Medicaid billing on file, so analyses of utilization, risk adjustment, and revenue should treat this clinician as operating almost entirely within the Medicare market. Absence of Medicaid activity also reduces comparability to in-state Medicaid peers and implies payer-concentration risk tied to Medicare reimbursement and coverage for these drugs.

Competitive standing is split by code: the provider is a national-level major player for J3245 (top 10 nationally and 97th percentile), while participation in J1306 and J0897 is modest to minimal (52th and 3th percentile respectively). This pattern means the provider could be seen as a dominant supplier for a single biologic in the national Medicare landscape, yet otherwise a routine participant for other injectable drugs.

Tenure on file is moderate: the NPI was enumerated 2019-02-03 (~7 years ago), so this specialized billing profile has developed within a relatively recent seven-year window rather than over multiple decades. That timing may be relevant when assessing growth, recent onboarding of specialty drug programs, or shifts into biologic administration services.

High concentration in a single HCPCS presents operational and reimbursement sensitivity: because $1.5M of $1.6M Medicare revenue stems from J3245 (93.7%), any changes in coverage, pricing, or patient access for that drug would materially affect the provider’s Medicare revenue. Analysts should treat revenue projections and capacity planning carefully given this concentration and monitor national trends for J3245 utilization and reimbursement policy.

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3245	Injection, tildrakizumab, 1 mg	13,600	$110	$1.5M
J1306	Injection, inclisiran, 1 mg	8,520	$10	$76.7K
J0897	Injection, denosumab, 1 mg	780	$20	$14.8K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	170	$40	$6.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	40	$40	$1.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	50	$10	$430

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Brooke Raney — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3245	1	10	13,600	$110	$1.5M
J1306	3	10	8,520	$10	$91.8K
J0897	183	190	1,920	$20	$74.1K
96401	15	40	90	$50	$7.4K
96365	55	80	70	$40	$5.1K
96372	229	520	40	$10	$700

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Infectious Disease Consultants, LLC	IL	Infectious Disease Physician	$0	$44.3M
Natalia Surowaniec	IL	Family Nurse Practitioner	$2.1M	$0
Martha Pawlukowsky	IL	Family Nurse Practitioner	$2M	$1.3K
Margaret Denham	IN	Nurse Practitioner	$1.7M	$0
Marie Rodriguez	IL	Gerontology Nurse Practitioner	$1.7M	$0
Walter Marbach	IL	Rheumatology Physician	$1.6M	$53.2K
Kristin Elatkin	IL	Family Nurse Practitioner	$1.6M	$5K
Robert Scribner	MI	Gerontology Nurse Practitioner	$1.5M	$0
Vishnu Chundi	IL	Infectious Disease Physician	$978.9K	$354.9K
Kimberly Balshi	FL	Nurse Practitioner	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vibrant, LLC	IA	In Home Supportive Care Agency	$0	$24.9M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$12.1M
Uni-hope Life Skills And Services, LLC	IA	In Home Supportive Care Agency	$0	$8M
Tae Hj Barto Dds	IA	General Practice Dentistry	$0	$7.5M
Loras Even	IA	Family Medicine Physician	$56.8K	$8.6K
Christina Schnedler	IA	Physician Assistant	$24.4K	$0

Brooke Raney — 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