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 Downey (NPI 1306882360)

Field	Value
Entity Type	Individual
Organization	David Downey
Address	203 W Pioneer Ave Ste 3
City	Homer
State	AK
ZIP	99603
Taxonomy	Family Medicine Physician
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicare	$54.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	290	$170	$48K
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…	30	$110	$3.6K
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…	10	$210	$2.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

David Downey — 1 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	928	1,210	90	$100	$16.2K
99215	13	400	40	$150	$11K
99205	115	140	30	$190	$7.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Peninsula Hospital, Inc	AK	Critical Access Hospital	$0	$30.1M
South Peninsula Hospital, Inc.	AK	Critical Access Hospital	$0	$2.7M
Alan Skolnick	AK	Cardiovascular Disease Physician	$473.3K	$0
Linda Ireland	AK	Cardiovascular Disease Physician	$389.7K	$0
Adam Mason	AK	Cardiovascular Disease Physician	$374.7K	$0
Lisa Gray	AK	Cardiovascular Disease Physician	$338.9K	$0
Mario Binder	AK	Cardiovascular Disease Physician	$316.8K	$0
Yiming Wu	AK	Clinical Cardiac Electrophysiology Physician	$305K	$0
Daniel Davignon	AK	Diagnostic Radiology Physician	$248.8K	$21.1K
Graham Glass	CA	Neurology Physician	$259.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Peninsula Behavioral Health Services Inc	AK	Community/Behavioral Health Agency	$0	$21.6M
Seldovia Village Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$10.1M
South Peninsula Behavioral Health Svcs Inc	AK	Respite Care	$0	$4.4M
Prodigy Medical, LLC	AK	Oxygen Equipment & Supplies (DME)	$0	$1.5M
James Bourne Dds PC	AK	Dentist	$0	$1.4M
Michael Connors	AK	Optometrist	$0	$1.4M
Homer Eyecare LLC	AK	Optometrist	$0	$1.2M
Homer Senior Citizens, Inc.	AK	Assisted Living Facility	$0	$1.2M
Zank Center, LLC	AK	Speech-Language Pathologist	$0	$1M
Akideas Limited Liability Corporation	AK	Case Management Agency	$0	$950.6K

David Downey — Billing Profile & Reimbursement Data

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David Downey — 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