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

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

Douglas Palma (NPI 1215977764)

Field	Value
Entity Type	Individual
Organization	Douglas Palma
Address	1941 Limestone Rd Ste 101
City	Wilmington
State	DE
ZIP	19808
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicare	$91.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$820	$22.1K
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…	290	$70	$19.2K
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…	150	$90	$14.3K
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…	50	$140	$6.8K
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…	40	$110	$4.5K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	20	$170	$3.8K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	150	$20	$3.6K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	30	$130	$3.6K
29880	In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…	10	$290	$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	$60	$2.9K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Douglas Palma — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29827	7	20	20	$1,130	$28.2K
99214	909	1,830	150	$80	$25.5K
99213	420	1,810	120	$60	$13.6K
20610	111	120	60	$50	$12.4K
29880	5	10	10	$760	$12.2K
99215	255	570	40	$120	$11K
73221	19	30	50	$120	$8.5K
29824	6	10	20	$400	$8.5K
29823	6	20	30	$260	$7K
99204	425	950	30	$110	$6.5K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dynamic Therapy Services LLC	DE	Physical Therapist	$0	$12.8M
Regional Orthopaedic Associates PA	DE	Orthopaedic Surgery Physician	$0	$2.8M
Steven Dellose	DE	Orthopaedic Surgery Physician	$1M	$0
Selina Xing	DE	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$910.2K	$300
James Rubano	DE	Orthopaedic Surgery Physician	$902.4K	$0
Mark Eskander	DE	Orthopaedic Surgery of the Spine Physician	$564K	$0
John Rowlands	DE	Interventional Pain Medicine Physician	$419K	$0
Nick Patel	DE	Orthopaedic Surgery Physician	$345K	$0
Brian Galinat	DE	Orthopaedic Surgery Physician	$268K	$0
Peter Townsend	DE	Orthopaedic Surgery Physician	$250.4K	$0

Douglas Palma — Billing Profile & Reimbursement Data

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Douglas Palma — 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