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

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

Douglas Arnold (NPI 1003815820)

Field	Value
Entity Type	Individual
Organization	Douglas Arnold
Address	116 Brookdale Dr
City	Highland Village
State	TX
ZIP	75077
Taxonomy	Podiatrist
NPI Enumerated	July 14, 2005

Payer Source	Total Paid
Medicare	$63.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	1,200	$30	$38.5K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	260	$50	$12.6K
99341	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…	240	$40	$8.7K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	50	$60	$3.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Douglas Arnold — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	25	630	140	$30	$9K
11056	186	320	70	$60	$8K
11055	19	260	40	$50	$4.2K
99341	5	40	40	$40	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bruce Linden	TX	Family Medicine Physician	$160.8K	$0
Kimberly Mueller	TX	Occupational Therapist	$102.3K	$0

Douglas Arnold — Billing Profile & Reimbursement Data

Sign up for Douglas Arnold — Billing Profile & Reimbursement Data policy alerts

Douglas Arnold — Billing Profile & Reimbursement Data

Sign up for Douglas Arnold — 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