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

Why is the Medicaid comparison limited to Montana 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. Montana (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 Allmacher (NPI 1295878890)

Field	Value
Entity Type	Individual
Organization	David Allmacher
Address	2360 Mullan Rd Ste C
City	Missoula
State	MT
ZIP	59808
Taxonomy	Adult Reconstructive Orthopaedic Surgery Physician
NPI Enumerated	February 14, 2007

Payer Source	Total Paid
Medicare	$338K
Medicaid	$0

Key Findings

DAVID ALLMACHER’s billing profile is concentrated in major joint arthroplasty consistent with his Adult Reconstructive Orthopaedic Surgery taxonomy: 27447 (total 180 claims, $181.1K revenue) and 27130 (67 claims, $67.3K revenue) are the largest individual Medicare revenue drivers and correspond to knee and hip joint replacement procedures described in the code set. These two procedural codes dominate the surgical mix and indicate an operative practice focused on primary lower-extremity joint replacement rather than nonoperative orthopaedics.

The top three Medicare codes (27447, 27130, 99213) account for 80.0% of this provider’s total Medicare revenue, with 27447 representing 53.5% of Medicare revenue, 27130 representing 19.9%, and 99213 representing 6.6%. This concentration shows the practice’s revenue is heavily dependent on a small number of high-revenue surgical and follow-up care codes rather than a broad blend of low-revenue services.

Medicare is effectively the sole public-payer source on file: lifetime Medicare revenue is $338K while there is no Medicaid billing on file. The absence of Medicaid activity indicates this provider operates as a single-payer (Medicare-dominant) billing profile in publicly reported data, which has implications for network coverage and access for Medicaid populations in-state.

For the signature knee arthroplasty code 27447, the provider ranks #139 of 12089 nationally (99th percentile) and is labeled an "extreme outlier," indicating extraordinarily high knee replacement volume relative to national peers. This ranking places the provider among a small group of clinicians with unusually large Medicare knee arthroplasty throughput, suggesting regional or referral-based dominance for that procedure.

By contrast, the hip replacement code 27130 ranks #759 of 8062 nationally (90th percentile) and is described as "typical, unremarkable volume for this code," indicating a strong but not exceptional national footprint for hip arthroplasty. That pattern — extreme knee volume but more typical hip volume — suggests a subspecialized focus or marketplace positioning where the provider is particularly known for knee replacement cases.

Nonoperative and ancillary service volumes support a high-throughput surgical practice with substantial pre/post-op and imaging activity: 99213 (361 claims, $22.4K revenue) and 99214 (206 claims, $19.2K revenue) reflect steady office follow-up, while 73562 (418 claims, $12.5K revenue) ranks #499 of 26819 (98th percentile; "notably above typical national volume") indicating above-average knee radiography volume. Together these codes imply routine clinic-based management and imaging linked to surgical care pathways rather than isolated episodic consultations.

The provider’s NPI was enumerated on 2007-02-14 (~19 years ago), indicating long tenure in Medicare billing. Combined with the concentrated, high-volume knee arthroplasty billing, this tenure supports interpretation of an established reconstructive practice with sustained referral patterns and procedural throughput rather than a newly formed or transient billing profile.

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
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	180	$1,010	$181.1K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	70	$1,010	$67.3K
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…	360	$60	$22.4K
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…	210	$90	$19.2K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	420	$30	$12.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	200	$40	$8K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	220	$30	$7.3K
73502	In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…	230	$30	$7.2K
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…	30	$110	$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…	40	$80	$3.3K

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. Montana Distribution

David Allmacher — 4 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	1	80	40	$1,080	$60.6K
27130	10	50	40	$1,150	$54.1K
99214	522	1,810	100	$70	$12.4K
97110	434	480	410	$20	$10.9K
99213	136	1,730	90	$50	$7.2K
99204	363	780	30	$100	$4.8K
20610	143	210	40	$40	$3.3K
99222	316	390	20	$100	$3.3K
99203	249	700	30	$70	$3.1K
73721	47	50	20	$80	$2.9K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Missoula Bone & Joint, LLC	MT	Orthopaedic Surgery Physician	$0	$2.2M
Mark Channer	MT	Orthopaedic Surgery Physician	$226.6K	$0
Paul Puckett	MT	Orthopaedic Hand Surgery Physician	$224.9K	$0
Christopher Price	MT	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$188.5K	$0
Robert Amrine	MT	Sports Medicine (Family Medicine) Physician	$168.3K	$0
Gary Willstein	MT	Orthopaedic Surgery Physician	$161.3K	$0
Zackery Witte	MT	Orthopaedic Surgery Physician	$137.8K	$0
Colin Sherrill	MT	Sports Medicine (Orthopaedic Surgery) Physician	$94.2K	$0
Alexander Ramsey	MT	Physician Assistant	$93.1K	$0
Jesse Doll	MT	Surgical Physician Assistant	$90K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Direct Care Network Virginia	MT	Home Health Agency	$0	$2.1B
Consumer Direct Personal Care, LLC	MT	In Home Supportive Care Agency	$0	$49.1M
Hkj Inc	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.2M
We Care Behavioral Health LLC	MT	Clinic/Center	$0	$14.8M
Partners In Home Care, Inc	MT	Nursing Care Agency	$0	$13M
Hkj Inc	MT	Case Management Agency	$0	$11.6M
Sunburst Health LLC	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Welltower Tenant Group LLC	MT	Assisted Living Facility	$0	$3.8M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$3.8M

David Allmacher — 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