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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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 Nixon (NPI 1316013329)

Field	Value
Entity Type	Individual
Organization	David Nixon
Address	1059 S Bradford St
City	Dover
State	DE
ZIP	19904
Taxonomy	Psychiatry Physician
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicare	$57.5K
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
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…	590	$80	$47.7K
Q3014	Telehealth originating site facility fee	410	$20	$8.3K
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…	30	$50	$1.5K

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. Delaware Distribution

David Nixon — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	271	1,830	150	$80	$25.5K
99213	1,553	1,810	120	$60	$13.6K
Q3014	2	10	190	$20	$4.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Center For Mental Wellness, Inc.	DE	Mental Health Counselor	$0	$9.9M
A Peace Of Mind	DE	Psychiatry Physician	$0	$258.2K
Fawzia Hasan	DE	Psychiatry Physician	$115.5K	$0
Karen Mcmillan	MD	Addiction (Substance Use Disorder) Counselor	$61.9K	$0
Kim Bursler	DE	Clinical Social Worker	$26.1K	$0
Khaled Mirza	DE	Psychiatry Physician	$16.9K	$0
Patricia Guarriello	DE	Clinical Social Worker	$16.3K	$0

David Nixon — Billing Profile & Reimbursement Data

Sign up for David Nixon — Billing Profile & Reimbursement Data policy alerts

David Nixon — Billing Profile & Reimbursement Data

Sign up for David Nixon — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References