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    OpenPayerNPI Medicare & MedicaidDavid Sibley
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    David Sibley — Billing Profile & Reimbursement Data

    NPI 1114982261 · Birmingham, AL · Cardiovascular Disease Physician

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    David Sibley is a cardiovascular disease physician provider located in Birmingham, Alabama. This profile covers 27 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Sibley
    Address801 Princeton Ave Sw
    CityBirmingham
    StateAL
    ZIP35211
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$627.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…120$1,860$228.4K
    99214The 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…1,000$80$84.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…850$90$74.5K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries240$230$56.9K
    93306The 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…500$90$46.6K
    J2785Injection, regadenoson, 0.1 mg540$40$23K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…40$400$14.5K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…120$120$14.5K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…70$190$13K
    99222The 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…110$90$10.1K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78431135060$1,850$166.5K
    A95551850160$230$45.3K
    9330652440170$80$19.1K
    992141657,330120$80$16.8K
    7845222325050$210$16.2K
    A95026380110$90$15.1K
    J278537160270$40$15K
    99233371,86080$90$13.4K
    92928229030$400$12K
    934582617030$200$8.1K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Farrell MendelsohnALCardiovascular Disease Physician$1.3M$0
    Hutton BrantleyALCardiovascular Disease Physician$552.2K$0
    Vasudeva GoliALCardiovascular Disease Physician$454K$0
    Thomas CawthonALCardiovascular Disease Physician$410.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Simon-williamson Clinic, P.C.ALInternal Medicine Physician$0$3.6M
    Lifeguard Ambulance Service LLCALLand Ambulance$1.3M$1.8M
    Bbh Pbmc, LLCALGeneral Acute Care Hospital$0$3.1M
    Simon Williamson Clinic Pediatrics PCALPediatrics Physician$0$1M
    Jason TsaiALNephrology Physician$448K$0
    Ariana DiamondALOphthalmology Physician$284.1K$0
    Katisha VanceALHematology & Oncology Physician$261K$0
    William MaddoxALClinical Cardiac Electrophysiology Physician$254.6K$0
    James LewisALNephrology Physician$144.6K$0
    Robert AgeeALFamily Medicine Physician$136.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    David Sibley — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama