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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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 Sommers (NPI 1154361194)

Field	Value
Entity Type	Individual
Organization	David Sommers
Address	1101 Michigan Ave
City	Logansport
State	IN
ZIP	46947
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicare	$22.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	120	$40	$5.4K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	20	$140	$2.9K
01938	The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.	70	$40	$2.5K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	40	$50	$2.1K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	40	$50	$1.9K
01940	The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…	40	$40	$1.7K
01992	The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…	30	$50	$1.4K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	20	$60	$1.1K
64447	The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…	20	$40	$970
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$40	$920

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

David Sommers — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	56	350	30	$80	$6.1K
01402	126	290	20	$190	$4.7K
01992	10	20	30	$100	$4.2K
00811	113	700	20	$80	$2.7K
00731	391	790	20	$90	$2.5K
01940	2	20	20	$80	$2.2K
01938	3	20	20	$70	$2.2K
00812	53	380	20	$90	$2.1K
00813	96	280	20	$100	$2K
00910	87	130	20	$70	$1.2K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Hospital Inc.	IN	General Acute Care Hospital	$0	$47.1M
Promedica Central Physicians	OH	Family Medicine Physician	$0	$40.9M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Terre Haute Regional Hospital, L.P.	IN	General Acute Care Hospital	$0	$16.7M
Parkview Logansport Hospital Inc	IN	General Acute Care Hospital	$0	$15.4M
Northstar Anesthesia Of Michigan Iii PLLC	TX	Pain Medicine (Anesthesiology) Physician	$0	$12.7M
Parkview Logansport Hospital, Inc.	IN	General Acute Care Hospital	$0	$9.8M
Union Hospital, Inc.	IN	Family Medicine Physician	$0	$6.9M
Union Hospital, Inc.	IN	Critical Access Hospital	$0	$4.1M
Dwight Fitch	FL	Radiation Oncology Physician	$1.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peak Community Services Inc.	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.3M
Nes Of Sandusky Inc	IN	Emergency Medicine Physician	$0	$2.7M
Cass County Auditor	IN	Ambulance	$345K	$946.5K
Twin Rivers Medical Laboratory, Inc	IN	Clinical Medical Laboratory	$476.2K	$160.7K
John Marvel	IN	Radiation Oncology Physician	$292K	$0
Cherie Bennett	IN	Internal Medicine Physician	$97.2K	$0
Matthew Frieden	IN	Optometrist	$75.8K	$10.2K
Scott Marsh	IN	Foot & Ankle Surgery Podiatrist	$41.5K	$0

David Sommers — 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