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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Francis (NPI 1154430072)

Field	Value
Entity Type	Individual
Organization	David Francis
Address	600 Highland Ave
City	Madison
State	WI
ZIP	53792
Taxonomy	Otolaryngology Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$23.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31610	In this procedure, the provider creates a permanent opening through skin into the trachea by using skin flaps. The aim is to help patients with chronic conditions that cause breathing difficulties.	10	$700	$8.4K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	80	$50	$3.9K
31541	The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of an abnormal mass of tissues in the voice box of the patient. He may remove the…	20	$190	$3.5K
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…	50	$50	$2.8K
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…	50	$40	$2K
31571	The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of any abnormalities. The provider then injects a therapeutic agent into the one or…	20	$80	$1.6K
37609	In this procedure, the provider incises in front of the ears to locate the temporal artery, and ligates the artery with a suture or clamp. He may also take a biopsy of the artery as an option. A…	10	$120	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

David Francis — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31610	1	10	10	$700	$8.4K
99213	5,372	9,380	60	$50	$4.7K
31541	1	10	20	$190	$3.5K
31575	8	130	40	$70	$2.9K
31571	2	10	20	$130	$2.6K
99203	565	2,820	30	$60	$2.4K
37609	1	10	10	$120	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wisconsin Hospitals And Clinics Authority	WI	General Acute Care Hospital	$0	$120M
University Of Wisconsin Medical Foundation, Inc	WI	Multi-Specialty Clinic/Center	$0	$15.2M
University Of Wisconsin System Non Payroll	WI	Clinical Medical Laboratory	$0	$4M
St. Joseph's Health Services, Inc.	WI	Critical Access Hospital	$0	$3.9M
Noemi Brunner	WI	Diagnostic Radiology Physician	$35.1K	$739.2K
Nevein Ibrahim	IL	Diagnostic Radiology Physician	$668.4K	$0
Thomas Reher	SD	Diagnostic Radiology Physician	$540.8K	$0
Ali Pirasteh	WI	Diagnostic Radiology Physician	$498.3K	$0
Chi Lim	SC	Orthopaedic Surgery Physician	$399.8K	$0
Steve Cho	WI	Nuclear Imaging & Therapy Physician	$395.3K	$0

David Francis — Billing Profile & Reimbursement Data

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David Francis — 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

Frequently Asked Questions

References