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

Why is the Medicaid comparison limited to New Mexico 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 Mexico (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 Davis (NPI 1124024880)

Field	Value
Entity Type	Individual
Organization	David Davis
Address	5120 Masthead St Ne
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	June 27, 2005

Payer Source	Total Paid
Medicare	$679.8K
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practice: lifetime Medicare revenue is $679.8K and there is no Medicaid billing on file, so payer exposure and revenue are concentrated in the Medicare population. That concentration increases sensitivity to Medicare reimbursement dynamics and limits visibility into Medicaid patient flow or state‑level payer contracts.

Revenue concentration is high and concentrated in Mohs-surgery codes: the precomputed top‑3 Medicare codes account for 69.4% of total Medicare revenue, with 17311 contributing $290.4K (42.8%), 17312 contributing $134.4K (19.8%), and 17313 contributing $46.4K (6.8%). This split shows the practice depends primarily on multi‑staged Mohs procedures for its revenue base.

The code mix indicates a clinical model built around Mohs micrographic surgery plus on‑site reconstruction and pathology support: high‑revenue Mohs codes (17311, 17312, 17313) are complemented by pathology/intraoperative consult codes such as 88305 ($27.6K, 4.1%) and 88331 ($14.4K, 2.1%), and reconstructive repair codes such as 14060 ($33.1K, 4.9%) and 12052 ($16.1K, 2.4%). Together these codes reflect a workflow of staged excision, frozen‑section pathology, and intermediate/complex wound repair typical of a surgical dermatology/Mohs practice.

Competitive standing on the primary Mohs codes is solid but characterized as routine in the dataset: 17311 ranks #239 of 2969 (92th percentile; typical, unremarkable volume for this code), 17312 ranks #202 of 2770 (93th percentile; typical, unremarkable volume for this code), and 17313 ranks #458 of 2300 (80th percentile; typical, unremarkable volume for this code). These rankings place the provider well above many peers nationally on these codes, but the provided descriptors label the volumes as typical rather than extreme outliers.

There are selective volume outliers that signal strengths in referral and new patient intake: 99203 (new patient E/M) shows 215 claims and $18.3K revenue (2.7%) and ranks #3409 of 161519 (98th percentile; notably above typical national volume for this code), and 12052 (intermediate repair of facial wounds 2.6–5.0 cm) ranks #100 of 1767 (94th percentile; notably above typical national volume for this code). These signals suggest comparatively strong new‑patient flow and a higher-than-typical rate of intermediate facial repairs for the specialty.

Pathology and intraoperative service lines meaningfully support procedures: 88305 (level IV surgical pathology) accounted for $27.6K (4.1%) and 88331 (intraoperative consultation/frozen section) accounted for $14.4K (2.1%), with 88331 ranked #197 of 4659 (96th percentile; typical, unremarkable volume for this code). The presence and relative rankings of these pathology codes are consistent with frequent frozen‑section work and internal pathology workflows that accompany Mohs surgery.

Practice tenure is long-standing: the NPI was enumerated on 2005-06-27 (~21 years ago), indicating an established presence in the market which may support steady referral relationships and sustained Medicare volume. This longevity, combined with the concentrated Mohs revenue mix, suggests a stable, specialty surgical practice rather than a newly launched multi‑service clinic.

From a business risk and opportunity perspective, the provider’s Medicare-only footprint and heavy reliance on a small set of Mohs codes (69.4% from the top three codes) create both efficiency—specialized procedural throughput—and vulnerability to any payment or referral shifts affecting Mohs services; diversification into additional payers or non‑Mohs service lines would change that exposure profile.

Medicare: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	690	$420	$290.4K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	430	$310	$134.4K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	120	$390	$46.4K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	60	$580	$33.1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	550	$50	$27.6K
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…	280	$100	$27.3K
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…	220	$90	$18.3K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	130	$120	$16.1K
88331	Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…	180	$80	$14.4K
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…	190	$70	$12.7K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

David Davis — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	2	10	430	$390	$163.4K
17312	2	10	260	$290	$76.2K
14041	2	10	60	$680	$38.3K
88305	33	70	530	$30	$28.5K
17313	1	10	70	$380	$25.3K
14060	2	10	30	$550	$23.1K
99214	482	2,700	90	$70	$12.9K
11102	43	70	140	$60	$11.6K
17000	61	110	220	$30	$10.4K
12052	2	10	50	$120	$7.7K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Davis	NM	MOHS-Micrographic Surgery Physician	$506.2K	$0
Michael Chang	NM	Dermatology Physician	$465.4K	$0
Monica Maria Romero	NM	Dermatology Physician	$193.2K	$0
Natalie Mills	NM	Physician Assistant	$134.2K	$0
Emily Bryl	NM	Physician Assistant	$107.3K	$0
Margaret Pribyl	NM	Physician Assistant	$106.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M

David Davis — 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