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

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

Darcy Foral (NPI 1144265091)

Field	Value
Entity Type	Individual
Organization	Darcy Foral
Address	7320 216th St Sw
City	Edmonds
State	WA
ZIP	98026
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicare	$36.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	180	$90	$16.5K
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…	90	$70	$6K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	150	$30	$3.7K
99204	The provider sees a new 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 provider…	30	$110	$3.6K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	100	$30	$2.9K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	10	$140	$2K
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…	20	$80	$1.3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	110	$1	$110
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	410	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Darcy Foral — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,168	10,860	100	$80	$13.6K
99213	3,488	9,690	60	$60	$6.5K
73721	174	210	30	$90	$5.4K
99204	2,131	4,750	30	$110	$5.2K
99203	2,326	3,140	30	$70	$3.3K
73630	90	630	50	$20	$1.4K
73610	42	440	30	$20	$690
J3301	395	700	130	$1	$240
J0665	10	10	550	$1	$10

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swedish Edmonds	WA	General Acute Care Hospital	$0	$30.1M
Convalescent Equipment & Supply Co. Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$7.7M
Cep America LLC	WA	Emergency Medicine Physician	$0	$5.5M
Laurie Jacobson	WA	MOHS-Micrographic Surgery Physician	$586.3K	$0
Arpenik Avakian	WA	Ophthalmology Physician	$499.5K	$0
Puget Sound Gastroenterology, PLLC	WA	Ambulatory Surgical Clinic/Center	$347.6K	$67.5K
Optum Care Washington PLLC	WA	Ambulatory Surgical Clinic/Center	$288.5K	$0
Andrew Davis	WA	Ophthalmology Physician	$285.5K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$275.9K	$0
Anne Pesenson	WA	Nephrology Physician	$180.8K	$0

Darcy Foral — Billing Profile & Reimbursement Data

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Darcy Foral — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References