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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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 Anderson (NPI 1124249743)

Field	Value
Entity Type	Individual
Organization	David Anderson
Address	512 Skyline Blvd Ste 1
City	Cloquet
State	MN
ZIP	55720
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicare	$27K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	120	$90	$11K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	80	$130	$9.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	60	$50	$2.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$170	$2.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	$30	$750

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

David Anderson — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	666	1,150	90	$130	$13.8K
99291	932	1,150	30	$160	$7.5K
99284	86	1,200	50	$80	$5.2K
99283	32	620	20	$50	$1.3K
99282	10	40	20	$30	$650

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unity Family Healthcare	MN	Critical Access Hospital	$0	$12.9M
Aitkin Community Hospital, Inc.	MN	Rural Health Clinic/Center	$0	$4.8M
Community Memorial Hospital Association	MN	Critical Access Hospital	$0	$4.3M
Bruce Linder	IL	Diagnostic Radiology Physician	$82.8K	$611.8K
Shawn Ahmed	MN	Diagnostic Radiology Physician	$505K	$0
Arti Raj	IL	Diagnostic Radiology Physician	$163.7K	$313.6K
Eric Hall	LA	Diagnostic Radiology Physician	$441.4K	$18.8K
Yun Chau Lee	MN	Emergency Medicine Physician	$112.5K	$316.1K
William Feske	CA	Diagnostic Radiology Physician	$364.7K	$0
Keattiyoat Wattanakit	IL	Cardiovascular Disease Physician	$188.6K	$150.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fond Du Lac Reservation Business Committee	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
Fond Du Lac Reservation Business Committee	MN	Clinic/Center	$0	$25.8M
County Of Carlton	MN	Case Management Agency	$0	$13.7M
Split Rock Operations	MN	Assisted Living Facility	$0	$8.5M
Cloquet Area Fire District	MN	Land Ambulance	$422.9K	$1.5M
White Drug Enterprises Inc	MN	Community/Retail Pharmacy	$172.6K	$47.1K
Joey Vork	MN	Family Nurse Practitioner	$102.5K	$0
Rhonda Johnson	MN	Physical Therapist	$38.8K	$0
Karla Kukowski	MN	Physical Therapist	$37K	$0
Arne Vainio	MN	Family Medicine Physician	$25.1K	$0

David Anderson — Billing Profile & Reimbursement Data

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David Anderson — 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