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

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

Brian Harris (NPI 1982611950)

Field	Value
Entity Type	Individual
Organization	Brian Harris
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicare	$68.3K
Medicaid	$0

Key Findings

This provider’s Medicare activity is small in absolute dollars: total Medicare revenue is $68.3K and there is no Medicaid billing on file, indicating an effectively single-payer footprint concentrated in Medicare. The absence of any Medicaid revenue suggests the provider either does not participate in Medicaid, does not see a Medicaid patient panel, or bills under a different taxonomy/group for Medicaid services.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 81.9% of the provider’s total Medicare revenue, indicating the practice relies heavily on a small set of office E/M visits for its Medicare receipts. That concentration implies the provider’s business is largely visit-based outpatient care rather than procedure-driven or ancillary-service heavy.

The dominant single CPT code is 99214, which generated $26.3K (38.4% of Medicare revenue) across 255 claims and ranks at the 75th national percentile for volume. This placement—described in the source as “typical, unremarkable volume” despite being at the 75th percentile—suggests a modestly above-average outpatient established-patient workload relative to peers, consistent with a steady primary office/clinic role in emergency medicine practice settings that provide follow-up or urgent care visits.

The provider also reports a strong volume of new-patient visits: 99204 produced $18.7K (27.3% of Medicare revenue) with 146 claims and is characterized as “notably above typical national volume” at the 95th percentile. The combination of high-ranking 99204 and substantial 99214 billing indicates the practice sees a mix of new and established outpatient encounters, pointing to a service model that includes substantial evaluation and management of higher-complexity visits.

Other E/M codes such as 99213 ($11K, 16.1%) and 99203 ($7K, 10.3%) make up much of the remaining Medicare revenue, reinforcing that revenue is heavily weighted to office/outpatient evaluation and management rather than imaging or in-office procedures. Ancillary codes (e.g., 87426, 87804, 71046) appear in small volumes and low revenue shares, which supports the interpretation that ancillary testing and diagnostics are secondary to face-to-face visit billing in this provider’s profile.

Competitive standing across the top codes is mixed: 99204 is a clear outlier toward high national volume (95th percentile, “notably above typical”), while 99214 and other E/M codes sit in typical ranges (71st–81st percentile) described as unremarkable or typical. This pattern indicates the provider is not a nationwide dominant operator but does have unusually high new-patient E/M activity relative to national peers, suggesting either localized referral inflows or episodic periods of higher new-patient throughput.

The provider’s NPI was enumerated on 2006-08-02 (~20 years ago), signaling long tenure in the Medicare program. That extended enrollment timeframe supports interpreting current billing as part of a sustained practice rather than a recently established clinician, which may matter for network contracting or utilization trend reviews.

Medicare: Complete Services Breakdown

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

16 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…	260	$100	$26.3K
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…	150	$130	$18.7K
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…	150	$70	$11K
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…	80	$90	$7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	50	$40	$1.9K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	50	$20	$720
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	20	$30	$620
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	10	$30	$450
71101	In this diagnostic procedure, the provider performs a three view unilateral radiological study of the ribs including a posteroanterior, or back to front, view of the chest. He performs this procedure…	10	$40	$390
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	10	$20	$220

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Brian Harris — 3 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	28	90	140	$90	$25.7K
99213	36	100	100	$60	$10.6K
99204	6	50	30	$110	$6.7K
99203	3	40	30	$70	$2.5K
71046	9	20	20	$20	$1.3K
36415	12	10	70	$10	$1.3K
87426	1	10	30	$30	$1.1K
80053	10	10	60	$10	$880
96372	12	10	20	$10	$700
73630	8	10	40	$20	$570

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nancy Rubin	CA	Hematology & Oncology Physician	$2M	$0
Lori Martin	VA	Medical Physician Assistant	$446.4K	$0
Jeffrey Keating	CA	Anatomic Pathology & Clinical Pathology Physician	$442.5K	$0
Robert Gardner	CA	Diagnostic Radiology Physician	$335.5K	$0
Theresa Okeke	CA	Physician Assistant	$324.8K	$0
Aaron Bledsoe	CA	Medical Physician Assistant	$288.9K	$0
Cary Yeh	CA	Diagnostic Radiology Physician	$273.8K	$0
Anthony Filly	CA	Diagnostic Radiology Physician	$262.5K	$0
Ernst Hansch	MN	Diagnostic Radiology Physician	$240.8K	$10.9K
John Koostra	CA	Pulmonary Disease Physician	$250.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Brian Harris — Billing Profile & Reimbursement Data

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Brian Harris — 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