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

Why is the Medicaid comparison limited to Alaska 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. Alaska (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 Sharp (NPI 1275720344)

Field	Value
Entity Type	Individual
Organization	David Sharp
Address	1211 Cushman St Ste 100
City	Fairbanks
State	AK
ZIP	99701
Taxonomy	Urology Physician
NPI Enumerated	October 2, 2007

Payer Source	Total Paid
Medicare	$356K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available claims data: total Medicare revenue is $356K and there is no Medicaid billing on file ("none below"). The absence of Medicaid activity means this profile reflects Medicare-driven clinical volume and limits visibility into care delivered to Medicaid populations.

Revenue is concentrated in a small set of services: the precomputed top 3 Medicare codes account for 48.2% of the provider's Medicare revenue, led by 99214 ($97.7K, 27.5%), followed by 99213 ($37.3K, 10.5%) and 52000 ($36.2K, 10.2%). This concentration indicates nearly half of Medicare earnings derive from a mix of evaluation & management (E/M) visits and a single high-volume cystoscopy code.

The CPT mix is consistent with an office‑based urology practice that performs both cognitive visits and in‑office procedural work. High‑revenue and frequent procedure codes such as 52000 (cystoscopy), 51728 (complex cystometrogram with voiding pressures), 76872 (transrectal ultrasound), and 51700/51703 (bladder instillation/catheterization) point to longitudinal management of prostate and lower urinary tract conditions, while J9217 (leuprolide acetate) indicates ongoing medical therapy for prostate disease.

On competitive standing, the provider is a strong national outlier for certain E/M and consult codes: 99214 ranks #16611 of 479517 (97th percentile; notably above typical national volume for this code) and 99204 ranks #3945 of 227068 (98th percentile; extreme outlier, far above typical national volume for this code). These ranks suggest above‑average demand for both established and higher‑complexity new patient visits compared with peers, even though total Medicare revenue ($356K) is modest in absolute terms.

Procedural competency appears elevated relative to peers for several urology procedures: 52000 ranks #543 of 8548 (94th percentile; typical, unremarkable volume for this code) and 51728 ranks #131 of 1805 (93th percentile; typical, unremarkable volume for this code). Those percentile positions indicate the provider performs more cystoscopies and urodynamic testing than most individual peers nationally, reinforcing an office practice model with hands‑on diagnostic procedures.

There are specific service lines showing mid‑level to low national standing: therapeutic codes such as J9217 (leuprolide) rank in the 40th percentile and several stent/ureteroscopy codes (e.g., 52356, 52310, 52332) fall in middle or lower percentiles. This mix suggests the practice focuses more on diagnostic/office procedures and medical management than high volumes of advanced endoscopic stone or reconstructive surgery.

The provider has an established tenure: NPI enumerated 2007-10-02 (~19 years ago), which supports the likelihood of sustained referral relationships and an established patient base that can explain persistent high E/M volumes such as 99214 and 99204. Long enumeration combined with recurrent procedure coding implies stable practice patterns over time.

Several codes flagged as above‑typical or notable indicate a referral or consult role in the local market: 99203 and 99204 show notably above typical or extreme outlier national volumes, while codes such as 51728 and 52000 are high percentile for procedures. Taken together, the profile reads as a community urologist with concentrated Medicare revenue, strong office consult volumes, and a procedural arm focused on cystoscopy, urodynamics, and prostate management rather than broad Medicaid or large surgical‑hospital volume.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	860	$110	$97.7K
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…	480	$80	$37.3K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	210	$170	$36.2K
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…	210	$150	$32.1K
51728	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…	90	$310	$28.4K
76872	The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.	140	$110	$14.8K
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…	150	$100	$14.3K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	20	$700	$13.3K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	110	$120	$13.2K
55700	Code deleted December 31, 2025.	50	$220	$11.5K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

David Sharp — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
51728	2	10	60	$300	$17.2K
99214	15	1,210	90	$100	$16.2K
J9217	8	20	100	$130	$14.8K
52356	4	10	20	$630	$13.9K
52000	1	20	60	$180	$12.5K
52601	1	10	20	$730	$12.4K
99215	117	400	40	$150	$11K
99213	36	1,290	70	$70	$8.5K
99204	5	460	30	$140	$6.1K
55700	1	10	20	$210	$5.9K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tony Nimeh	AK	Urology Physician	$271.6K	$0
Jordan Angell	MD	Urology Physician	$234.4K	$0
Fairbanks Urology	AK	Urology Physician	$0	$197K
Ronney Abaza	OH	Urology Physician	$182K	$0
Daniel Robertshaw	OH	Urology Physician	$131.3K	$0
Maurilio Garcia-gil	TX	Urology Physician	$109.3K	$0
Julia Fiorentino	OH	Internal Medicine Physician	$89.8K	$0
Bodo Knudsen	OH	Urology Physician	$76.7K	$0
Fara Bellows	OH	Urology Physician	$74.5K	$0
Clifford Johnson	OH	Internal Medicine Physician	$71.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$107.5M
Fairbanks Memorial Hospital, LLC	AK	General Acute Care Hospital	$0	$83.6M
Fairbanks Resource Agency Inc	AK	Community/Behavioral Health Agency	$0	$48M
Presbyterian Hospitality House	AK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$34.9M
Fairbanks Native Association	AK	Substance Abuse Rehabilitation Facility	$0	$32.6M
Tanana Chiefs Confenerce	AK	Transportation Broker	$0	$24.1M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$17M
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$16.3M
Restore LLC	AK	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.3M
Tanana Valley Clinic LLC	AK	Multi-Specialty Clinic/Center	$0	$15.2M

David Sharp — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References