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

Why is the Medicaid comparison limited to Colorado 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. Colorado (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 Buckwalter (NPI 1275734378)

Field	Value
Entity Type	Individual
Organization	David Buckwalter
Address	1311 N Mildred Rd
City	Cortez
State	CO
ZIP	81321
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 29, 2007

Payer Source	Total Paid
Medicare	$81.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	360	$140	$49.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	190	$90	$18K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	80	$170	$12.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$50	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

David Buckwalter — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	9	1,040	90	$130	$13.6K
99291	286	1,230	40	$170	$9.8K
99284	12	1,120	50	$90	$5.1K
99283	184	540	20	$50	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Hospital Inc	VA	General Acute Care Hospital	$0	$136.7M
Riverside Physician Services, Inc.	VA	Family Medicine Physician	$0	$44.7M
Shore Health Services Inc.	VA	Rural Acute Care Hospital	$0	$24.7M
Vcu Health Tappahannock Hospital	VA	General Acute Care Hospital	$0	$20.6M
Riverside Middle Peninsula Hospital Inc	VA	General Acute Care Hospital	$0	$19M
Riverside Physician Services Inc	VA	Emergency Medicine Physician	$0	$17.3M
Michumi PLLC	VA	Emergency Medicine Physician	$0	$12.4M
Doctors' Hospital Of Williamsburg	VA	General Acute Care Hospital	$0	$12M
Riverside Hospital Inc.	VA	Family Medicine Physician	$0	$7.7M
Matthew Reed	VA	Ophthalmology Physician	$4.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Health System, Inc.	CO	Rural Health Clinic/Center	$0	$9.4M
Southwest Health System Inc	CO	Critical Access Hospital	$0	$9.2M
Pasco/sw Inc	CO	Home Health Agency	$0	$6.1M
Southwest Health System, Inc.	CO	Rural Health Clinic/Center	$0	$5.5M
Angelic Hands Inc.	CO	Home Health Agency	$0	$5.5M
Angelic Hands LLC	CO	Personal Care Attendant	$0	$5.2M
Park Point Healthcare LLC	CO	In Home Supportive Care Agency	$0	$4.9M
Angelic Hands, Inc	CO	In Home Supportive Care Agency	$0	$4.3M
Megan Flesch	CO	Physical Therapist	$260.3K	$0
Southwest Health System, Inc.	CO	Pharmacy	$135.4K	$0

David Buckwalter — Billing Profile & Reimbursement Data

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David Buckwalter — 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