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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Brendan Merchant (NPI 1952535445)

Field	Value
Entity Type	Individual
Organization	Brendan Merchant
Address	3800 Reservoir Rd Nw
City	Washington
State	DC
ZIP	20007
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 12, 2009

Payer Source	Total Paid
Medicare	$346.7K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated: lifetime Medicare revenue is $346.7K and the top 3 Medicare codes (99214, 93306, 78452) account for 58.9% of that total. Individually those top codes generated $82K (24.1%), $69K (20.3%), and $48.8K (14.4%) respectively, signaling heavy reliance on a small set of services for most revenue.

The CPT mix combines high-volume outpatient evaluation-and-management with advanced cardiac diagnostics. 99214 (office E/M for established patients) is the single largest revenue driver at $82K and 828 claims, while 93306 (2D transthoracic echo, $69K, 580 claims) and 78452 (cardiac SPECT, $48.8K, 144 claims) point to an operational focus on cardiology imaging and stress testing despite the provider’s Internal Medicine taxonomy.

99214 shows unusually high utilization relative to peers: 828 claims, $99 avg paid/claim, $82K revenue (24.1% of Medicare) and a national rank in the 96th percentile described as notably above typical national volume. This pattern is consistent with either a large established outpatient panel or concentrated clinic sessions where the provider performs frequent higher-level E/M visits.

Cardiac imaging and stress testing form a clear service line: 93306 and 78452 together contributed $117.8K (20.3% and 14.4% of Medicare revenue respectively) and rank in the 90th and 84th percentiles (characterized as typical, unremarkable volume for those codes). Additional related claims such as J2785 (regadenoson, $14.5K) and 93015 (stress test interpretation, $10.2K) reinforce a consistent throughput of diagnostic cardiac procedures.

The provider reports very high relative volumes for routine ECG services: 93010 (1.8K claims, $10.7K, 97th percentile) and 93000 (706 claims, $7.8K, 96th percentile) are both labeled notably above typical national volume. These volumes suggest high diagnostic testing throughput (ECGs and monitoring) that complements the echo/SPECT service line and likely supports referral-driven imaging workflows.

Competitive standing is mixed: for office E/M and ECG services the provider ranks as a high-volume national outlier (96th–97th percentiles), while for echo and nuclear cardiology the ranks (90th and 84th percentiles) indicate strong but not dominant positioning within those technical specialties. In short, the provider is a significant national-volume contributor for E/M and ECGs and a substantial, though less extreme, participant in cardiac imaging.

This profile is effectively single‑payer from a claims perspective: there is no Medicaid billing on file, so Medicare accounts for the entirety of reported public-payer revenue. The absence of Medicaid activity alongside lifetime Medicare revenue of $346.7K suggests a narrow public-payer footprint that may reflect patient mix, site-of-service, or payer contracting choices.

The provider has an established NPI tenure (enumerated 2009-05-12, ~17 years), which supports the inference of sustained clinical relationships and referral networks that could explain repeat high-volume E/M and diagnostic testing. Despite long tenure, the overall Medicare revenue level ($346.7K) is modest, consistent with a small practice, part‑time clinical role, or specialty-focused site rather than a large multi-provider outpatient system.

Medicare: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	830	$100	$82K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	580	$120	$69K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	140	$340	$48.8K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	240	$100	$22.8K
J2785	Injection, regadenoson, 0.1 mg	340	$40	$14.5K
99204	The provider sees a new 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 provider…	100	$140	$13.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,780	$10	$10.7K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	190	$60	$10.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$110	$8.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	120	$70	$7.8K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Brendan Merchant — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	9	80	240	$110	$32.4K
78452	4	40	60	$340	$22.6K
99233	604	650	90	$100	$17.6K
99214	25	1,400	90	$100	$15.3K
93925	17	30	40	$160	$12.4K
93880	6	60	40	$130	$11.1K
99232	217	640	70	$70	$10K
93970	32	60	40	$100	$9.9K
99213	383	1,200	50	$70	$8.5K
99223	320	610	40	$140	$8.4K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harbor Medical Associates, Inc.	MA	Clinical Medical Laboratory	$1.8M	$420.7K
Harbor Medical Associates, Inc.	MA	Diagnostic Radiology Physician	$753K	$191K
Harbor Medical Associates, Inc.	MA	Diagnostic Radiology Physician	$620.5K	$0
John Kalin	MA	Cardiovascular Disease Physician	$617.9K	$0
Christine Hayes	MA	MOHS-Micrographic Surgery Physician	$579.4K	$0
Seth Mcclennen	MA	Clinical Cardiac Electrophysiology Physician	$548.9K	$0
Michael Mecley	MA	Cardiovascular Disease Physician	$479.3K	$0
Richard Curtis	MA	Gastroenterology Physician	$431.7K	$0
Nicole Wood	MA	Family Medicine Physician	$419.7K	$0
Moussa Mansour	MA	Clinical Cardiac Electrophysiology Physician	$406K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. John's Community Services-dc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$99M
Medstar - Georgetown Medical Center, Inc.	DC	General Acute Care Hospital	$0	$45.6M
Mgmc, LLC	DC	General Practice Physician	$0	$18.1M
Mina Akhlaghi	DC	Dentist	$0	$2.1M
Medstar Georgetown Medical Center, Inc	DC	Internal Medicine Physician	$0	$923.4K
Anisa Omar	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$892K
Fred Mo	DC	Orthopaedic Surgery of the Spine Physician	$688.8K	$0
Parham Farid	DC	Diagnostic Radiology Physician	$642.7K	$0
Siamak Majidi	DC	Pediatric Dentistry	$0	$618.1K
Andrea Singer	DC	Internal Medicine Physician	$608.6K	$0

Brendan Merchant — 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