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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Rawcliffe
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    David Rawcliffe — Billing Profile & Reimbursement Data

    NPI 1225155906 · Bangor, ME · Family Medicine Physician

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    David Rawcliffe is a family medicine physician provider located in Bangor, Maine. This profile covers 10 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Rawcliffe
    Address700 Mount Hope Ave
    CityBangor
    StateME
    ZIP04401
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 26, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$7.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.170$10$1.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.100$10$1.2K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…70$20$1.1K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…110$10$1.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…120$10$980
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…40$10$470
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…10$30$320
    83550The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…20$10$180
    83721The lab analyst performs a test to directly measure the low density lipoprotein, LDL, cholesterol in a patient specimen.20$10$180
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.20$10$120

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    800534023060$10$2.1K
    8230610010030$30$2.1K
    844434216040$20$1.8K
    800613317050$10$1.6K
    850254220050$10$1.6K
    83550305020$10$940
    830362123040$10$690
    83540325020$10$660
    8030562030$10$620
    8372131030$10$560

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sebasticook Valley HealthMECritical Access Hospital$0$3.6M
    Sebasticook Valley HealthMERural Health Clinic/Center$0$2.8M
    Sebasticook Valley HealthMERural Health Clinic/Center$0$1.4M
    Sebasticook Valley HealthMERural Health Clinic/Center$0$1.3M
    Sathish Kumar Cullath HarikrishnanILHospitalist Physician$153.6K$200.1K
    Gabriel ThorntonGACritical Care Medicine (Internal Medicine) Physician$241.4K$0
    Matthew MooreNHDiagnostic Radiology Physician$117.7K$740
    Ajit CharyILPulmonary Disease Physician$101.4K$0
    Jerald KuhnMEDiagnostic Radiology Physician$97.5K$0
    Henry TalaricoMEDiagnostic Radiology Physician$82.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    David Rawcliffe — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine