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.

Daniel Whiting (NPI 1356637995)

Field	Value
Entity Type	Individual
Organization	Daniel Whiting
Address	2740 South Ave W Ste 101
City	Missoula
State	MT
ZIP	59804
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 22, 2011

Payer Source	Total Paid
Medicare	$344.6K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is modest in absolute scale but concentrated: total Medicare revenue is $344.6K and there is no Medicaid billing on file, so the practice is effectively single-payer Medicare from a claims-data perspective. The absence of any Medicaid billing suggests either limited participation in state programs, a primarily Medicare-aged patient panel, or billing through another entity for non-Medicare payers, and it will constrain analyses that seek Medicaid comparators or dual-payer mix dynamics.

Revenue is highly concentrated in a small set of procedures: the precomputed top three Medicare codes (27130, 27447, 99213) account for 67.6% of the provider’s Medicare revenue. Those three codes — hip arthroplasty (27130, 35.4%), knee arthroplasty (27447, 22.5%), and an established patient office visit (99213, 9.7%) — together drive the bulk of billed Medicare dollars and define the economic center of the practice.

The code mix indicates a surgical orthopaedic practice centered on major joint arthroplasty supplemented by a high-volume clinic and procedure practice: 27130 and 27447 are the top revenue drivers, and high volumes of E/M codes (99213, 99214, 99203/99204) plus injection and arthrocentesis codes (20610, 20611, J7325) and multiple extremity X‑ray codes (73502, 73564, 73562) point to integrated operative and outpatient management of hip and knee disease. This combination is consistent with a surgeon who manages patients through evaluation, imaging, injections, and definitive joint replacement.

On hip replacement specifically, the provider is a national outlier: 27130 is 120 claims with $121.8K revenue and ranks #111 of 8062 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). This ranking positions the provider as a high-volume hip arthroplasty surgeon relative to peers nationally and is the primary competitive differentiator in their Medicare profile.

Knee replacement and office visit volumes show a mixed competitive picture: 27447 (76 claims, $77.3K revenue) ranks #1645 of 12089 providers (86th percentile; typical, unremarkable volume), indicating above-average but not exceptional knee-arthroplasty activity, while 99213 (535 claims, $33.2K revenue) ranks #23975 of 457151 providers (95th percentile; notably above typical national volume), signaling unusually high outpatient throughput for evaluation-and-management visits. Together these suggest a practice with both a strong surgical case load for hips and a busy outpatient clinic capacity.

Imaging and ancillary services are another point of strength: 73502 (543 claims, $17.9K revenue) ranks #165 of 33225 providers (100th percentile; notably above typical national volume), and other X‑ray codes such as 73564 and 73562 also appear in high national percentiles. High imaging ranks imply substantial in-clinic diagnostic activity that supports pre- and post-operative care and may capture ancillary revenue and workflow efficiencies.

The practice performs a high volume of non‑operative joint procedures as well: 20610 (400 claims, $18.4K revenue) appears at the 95th percentile with the label “typical, unremarkable volume,” and J7325 shows 2.4K claims generating $17.1K revenue and ranks #345 of 1793 providers (80th percentile; typical, unremarkable volume). These data indicate frequent joint injections and office-based procedures that supplement surgical revenue and reflect active conservative management of joint disease.

The NPI tenure is long-standing — enumerated 2011-06-22 (~15 years ago) — which, combined with the concentrated arthroplasty and clinic mix, suggests an established orthopaedic practice with mature referral patterns for hip replacement. For payers and contracting teams, the lack of Medicaid billing and the outsized reliance on a few high-revenue surgical codes are key considerations when assessing capacity, network coverage gaps for non-Medicare populations, and opportunities to negotiate episode or bundle arrangements around hip arthroplasty.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	120	$1,020	$121.8K
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…	80	$1,020	$77.3K
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…	540	$60	$33.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	400	$50	$18.4K
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…	540	$30	$17.9K
J7325	Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,450	$10	$17.1K
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…	150	$90	$13.1K
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…	120	$110	$12.4K
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.	290	$30	$9.9K
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…	120	$80	$8.9K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Daniel Whiting — 7 of 16 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

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	19	80	40	$1,080	$60.6K
27130	1	50	40	$1,150	$54.1K
J7325	6	20	2,080	$10	$13.6K
99214	705	1,810	100	$70	$12.4K
99213	59	1,730	90	$50	$7.2K
20611	14	20	50	$60	$5.2K
99204	38	780	30	$100	$4.8K
20610	2	210	40	$40	$3.3K
99203	45	700	30	$70	$3.1K
73503	1	10	40	$50	$1.9K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Rockies Orthopaedics, Pllp	MT	Clinic/Center	$0	$395.1K
Justin Jacobson	MT	Orthopaedic Surgery Physician	$210.2K	$0
Larry Stayner	MT	Orthopaedic Surgery Physician	$189.2K	$0
Taylor Buckley	MT	Orthopaedic Hand Surgery Physician	$133.7K	$0
Daniel Dixon	MT	Orthopaedic Surgery Physician	$133.5K	$0
Michela Westhoff	MT	Physician Assistant	$45.2K	$0
Jessica Telleria	MT	Orthopaedic Surgery Physician	$41.4K	$0
Andy Chorn	ID	Physician Assistant	$28.1K	$0
Jennifer Helmer	MT	Physical Therapist	$17.2K	$0
Heidi Waits	MT	Nurse Practitioner	$3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rchp Billings - Missoula LLC	MT	Specialist	$0	$13.1M
Clark Fork Emergency Physicians PLLC	MT	Emergency Medicine Physician	$0	$6.1M
Rchp Billings - Missoula LLC	MT	General Acute Care Hospital	$0	$4M
Origin Health LLC	MT	Maternal & Fetal Medicine Physician	$0	$3.3M
Cogent Healthcare Of Montana P C	MT	Internal Medicine Physician	$0	$1.9M
Big Sky Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$811.5K	$954.6K
Pathology Consultants Of Western Montana, P.C.	MT	Anatomic Pathology & Clinical Pathology Physician	$0	$1.3M
Generations Family Medicine And Obstetrics	MT	Family Medicine Physician	$0	$690.8K
Rchp Billings - Missoula LLC	MT	Case Management Agency	$0	$635.1K
Kristen Townley	MT	MOHS-Micrographic Surgery Physician	$547.1K	$0

Daniel Whiting — 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