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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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 Summerlin (NPI 1205121696)

David Summerlin is a diagnostic radiology physician provider located in Birmingham, Alabama. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	David Summerlin
Address	1717 6th Ave S
City	Birmingham
State	AL
ZIP	35233
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 13, 2011

Payer Source	Total Paid
Medicare	$64.7K
Medicaid	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	220	$70	$16.1K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	180	$90	$15.6K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	90	$70	$5.5K
74178	The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…	70	$70	$5.4K
74174	In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…	50	$80	$3.9K
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	40	$80	$2.6K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	80	$30	$2.1K
50200	In this procedure. A physician inserts a collection needle into the kidney to collect a sample for further diagnostic biopsy.	20	$90	$1.8K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	280	$10	$1.7K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	70	$20	$1.4K

Showing 1–10 of 21

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	46	360	110	$80	$9.7K
74176	159	360	80	$60	$5.9K
72197	26	50	30	$110	$5.3K
74183	3	60	30	$110	$5.2K
93880	386	480	40	$80	$4.8K
74178	14	220	30	$120	$4.1K
93970	79	410	40	$50	$3.1K
93975	11	50	20	$90	$2.4K
74174	14	140	20	$80	$2.1K
50200	3	10	20	$90	$2K

David Summerlin — Billing Profile & Reimbursement Data

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David Summerlin — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References