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

Why is the Medicaid comparison limited to New York 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. New York (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 Sperling (NPI 1255339420)

Field	Value
Entity Type	Individual
Organization	David Sperling
Address	1275 York Ave
City	New York
State	NY
ZIP	10065
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	July 12, 2005

Payer Source	Total Paid
Medicare	$223.4K
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
37243	The physician partially or completely blocks vascular blood flow in the target area for benign or malignant tumors (including uterine fibroids), organ ischemia, or infarction.	20	$8,460	$160.6K
36247	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	30	$720	$22.3K
75774	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	100	$90	$9.3K
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…	50	$120	$5.9K
36248	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	50	$110	$5.2K
99205	The provider sees a new 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 provider…	30	$190	$5K
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…	30	$170	$4.3K
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…	50	$90	$3.9K
75710	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	20	$140	$2.4K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	80	$20	$1.9K

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. New York Distribution

David Sperling — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37243	14	20	30	$4,060	$146.1K
99214	20,607	30,450	90	$100	$19K
36247	19	60	30	$420	$15.1K
99213	20,885	31,440	80	$70	$12.1K
99215	5,261	8,280	40	$140	$10.1K
36248	9	20	50	$80	$7.3K
75774	5	20	60	$60	$6.7K
99205	2,011	4,260	30	$180	$6.4K
75710	100	150	20	$110	$4.8K
10005	234	250	20	$100	$3.9K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trustees Of Columbia University In The City Of New York	NY	Surgery Physician	$0	$96.9M
Trustees Of Columbia University In The City Of New York	NY	Internal Medicine Physician	$0	$54.9M
Columbia University Health Care, Inc.	NY	Dental Clinic/Center	$0	$29M
Trustees Of Columbia University In The City Of New York	NY	Internal Medicine Physician	$0	$21.4M
Trustees Of Columbia University In The City Of New York	NY	Anatomic Pathology & Clinical Pathology Physician	$254.6K	$7.4M
Neil Gonter	NJ	Rheumatology Physician	$1.6M	$0
David Silvers	NY	Dermatopathology Physician	$1.3M	$0
Mikhail Doubrovin	NY	Nuclear Medicine Physician	$1M	$117.9K
Alexandru Kimel	NJ	Rheumatology Physician	$1.1M	$0
Majid Maybody	NY	Vascular & Interventional Radiology Physician	$974.1K	$370

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$276.3K	$207.4M
Memorial Hospital For Cancer And Allied Diseases	NY	General Acute Care Hospital	$0	$135.1M
Rami Sartawi	NY	Vascular & Interventional Radiology Physician	$3.7M	$4.9M
Ruben Niesvizky	NY	Hematology & Oncology Physician	$3.1M	$12.4K
Sherif Heiba	NY	Nuclear Medicine Physician	$1.7M	$18.5K
Gregory Harmon	NY	Ophthalmology Physician	$1.4M	$54.2K
Douglas Brylka	NY	Radiology Clinic/Center	$1.3M	$0
David Fox	NY	Vascular Surgery Physician	$859K	$77.5K
Mark Francescone	NY	Diagnostic Radiology Physician	$824K	$6.3K
Matthew Agee	NY	Diagnostic Radiology Physician	$740.7K	$4.3K

David Sperling — Billing Profile & Reimbursement Data

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David Sperling — 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