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

Why is the Medicaid comparison limited to New York 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. New York (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.

David Gallagher (NPI 1104090232)

Field	Value
Entity Type	Individual
Organization	David Gallagher
Address	33 Mitchell Ave
City	Binghamton
State	NY
ZIP	13903
Taxonomy	Sports Medicine (Orthopaedic Surgery) Physician
NPI Enumerated	April 18, 2008

Payer Source	Total Paid
Medicare	$51.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$750	$21.1K
29807	The provider examines the tissue inside the shoulder joint with an arthroscope to treat a suspected tear of the lining of the shoulder socket. She inserts instruments through the arthroscope to make…	20	$420	$9.6K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	20	$330	$7.2K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	30	$170	$4.6K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	30	$120	$3.2K
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…	40	$70	$3.1K
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…	60	$50	$2.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$20	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

David Gallagher — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29827	23	110	20	$1,260	$27.7K
99214	21,568	30,450	90	$100	$19K
29828	7	30	20	$1,020	$18.4K
99213	19,107	31,440	80	$70	$12.1K
29807	1	10	20	$420	$9.6K
29824	2	30	10	$450	$6.7K
99212	6,885	7,850	30	$40	$3.6K
29826	14	90	20	$120	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Health Services Hospitals, Inc.	NY	General Acute Care Hospital	$0	$163M
Zhiming Yang	PA	Anatomic Pathology Physician	$4.5M	$0
Aqeel Haidar	NC	Anatomic Pathology & Clinical Pathology Physician	$1.6M	$0
Shilpa Sambidi	NY	Hematology & Oncology Physician	$847.8K	$39.4K
James Lim	NY	Diagnostic Radiology Physician	$670.7K	$3.5K
Khalid Sethi	NY	Neurological Surgery Physician	$423.8K	$31.6K
Daniel Welchons	NY	Urology Physician	$435.9K	$5.8K
James Lee	NY	Hematology & Oncology Physician	$352.3K	$25.7K
Madhuri Yalamanchili	NY	Hematology & Oncology Physician	$306.6K	$29.3K
Alexander Factourovich	NY	Psychiatry Physician	$70.4K	$228.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Venkatesh Jayaraman	NY	Nephrology Physician	$208.3K	$28.5K
Eric Seybold	NY	Orthopaedic Surgery Physician	$116.8K	$0
Ali Marhaba	NY	Gastroenterology Physician	$99.1K	$40
Kimona Issa	NY	Orthopaedic Surgery of the Spine Physician	$74.1K	$0
Nicolas Cordoba	NY	Pediatrics Physician	$5.5K	$55.5K
Amanke Oranu	NY	Gastroenterology Physician	$51.7K	$40
Maciej Nowakowski	NY	Sleep Medicine (Internal Medicine) Physician	$45.6K	$1.6K
Toseef Javaid	NY	Gastroenterology Physician	$41.4K	$10

David Gallagher — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References