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

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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 Sloane (NPI 1164403119)

Field	Value
Entity Type	Individual
Organization	David Sloane
Address	850 Boylston St
City	Chestnut Hill
State	MA
ZIP	02467
Taxonomy	Specialist
NPI Enumerated	November 8, 2005

Payer Source	Total Paid
Medicare	$22.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	170	$80	$13.4K
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…	60	$50	$3K
95180	Code 95180 is in the Medicine section; subsection Allergy and Clinical Immunology/Allergen Immunotherapy. An allergenic extract is a protein containing an extract purified from a substance to which a…	30	$80	$2.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$110	$2K
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…	10	$110	$1.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$30	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

David Sloane — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95180	3	10	90	$110	$18.6K
99214	5,468	15,410	110	$80	$15.6K
99215	5,118	6,360	40	$120	$8.9K
99213	7,604	13,700	70	$60	$8.8K
99204	5,378	5,870	30	$120	$5.6K
99212	2,144	2,660	30	$40	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawrence Dubuske	DC	Allergy & Immunology (Internal Medicine) Physician	$44.2K	$39.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accurate Care Afc, Inc.	MA	Home Health Agency	$0	$11.3M
Jeffrey Sobell	MA	Dermatology Physician	$1.3M	$0
Thomas Rohrer	MA	MOHS-Micrographic Surgery Physician	$824.4K	$0
Evan Appelbaum	MA	Cardiovascular Disease Physician	$661.8K	$0
David Mattingly	MA	Adult Reconstructive Orthopaedic Surgery Physician	$381.4K	$0
Marcy Cheifetz	MA	Endocrinology, Diabetes & Metabolism Physician	$343.5K	$0
Daniel Ward	MA	Orthopaedic Surgery Physician	$343K	$0
Robin Travers	MA	Dermatology Physician	$327K	$0
David Vernick	MA	Otolaryngology Physician	$246.7K	$0
Gregory Brodsky	MA	Psychiatry Physician	$74.6K	$169.4K

David Sloane — Billing Profile & Reimbursement Data

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David Sloane — 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