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

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

Daniel Daniels (NPI 1174631352)

Field	Value
Entity Type	Individual
Organization	Daniel Daniels
Address	194 Thomas Johnson Dr
City	Frederick
State	MD
ZIP	21702
Taxonomy	Gastroenterology Physician
NPI Enumerated	August 28, 2006

Payer Source	Total Paid
Medicare	$192.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	200	$200	$38.4K
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…	350	$90	$31.6K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	130	$180	$23.2K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	100	$190	$18.4K
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…	80	$110	$8.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	120	$70	$8.4K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	110	$70	$7.5K
43274	The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…	20	$370	$6.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$110	$5.9K
43264	The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…	40	$150	$5.7K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Daniel Daniels — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	41	360	80	$310	$35.6K
45380	241	370	70	$220	$26.4K
99214	2,679	10,270	150	$90	$24.1K
43239	115	380	80	$140	$17.7K
G0105	21	220	30	$300	$17.3K
99213	4,903	9,280	100	$60	$12.5K
G0121	20	220	30	$290	$12.1K
99232	2,689	3,350	80	$60	$11.1K
43274	13	20	20	$350	$10.3K
43248	30	30	30	$200	$9.1K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tidalhealth Specialty Care, LLC	MD	Medical Specialty Clinic/Center	$0	$11.7M
Tidalhealth Peninsula Regional, Inc.	MD	General Acute Care Hospital	$0	$7.6M
Justin Kucinski	MD	Internal Medicine Physician	$6.9M	$0
Atlantic General Hospital Corporation	MD	Family Medicine Physician	$0	$5.4M
Tanya Clifford	MD	Nurse Practitioner	$2.9M	$0
Ivonne Herrera	DE	Rheumatology Physician	$2.7M	$0
Rabindra Paul	MD	Infectious Disease Physician	$2.1M	$0
Gregory Gagnon	MD	Radiation Oncology Physician	$1.6M	$0
Kazi Khan	MD	Nephrology Physician	$1.6M	$0
Elhamy Eskander	MD	Medical Oncology Physician	$1.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederick County Public Schools	MD	Local Education Agency (LEA)	$0	$21.3M
Dr.sivakumar Pediatric Dental Center LLC	MD	Pediatric Dentistry	$0	$14.7M
Concerted Care Group Frederick LLC	MD	Methadone Clinic	$290K	$7.4M
Frederick Pediatric Associates P.A.	MD	Pediatrics Physician	$0	$7.6M
Potomac Case Management Services	MD	Case Management Agency	$0	$6.7M
Amr Hegazi	MD	Hematology & Oncology Physician	$2.3M	$0
Grant Louie	MD	Rheumatology Physician	$2.1M	$0
Sadaf Taimur	MD	Hematology & Oncology Physician	$1.7M	$0
Frederick Surgical Center, LLC	MD	Ambulatory Surgical Clinic/Center	$1.7M	$0
Patrick Mansky	MD	Medical Oncology Physician	$1.3M	$0

Daniel Daniels — Billing Profile & Reimbursement Data

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Daniel Daniels — 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