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

Why is the Medicaid comparison limited to Nebraska 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. Nebraska (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 Waters (NPI 1386932564)

Field	Value
Entity Type	Individual
Organization	David Waters
Address	306 W 2nd St
City	Hastings
State	NE
ZIP	68901
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	July 21, 2011

Payer Source	Total Paid
Medicare	$734.6K
Medicaid	$0

Key Findings

This provider has reported $734.6K in lifetime Medicare revenue and no Medicaid billing on file, making its public claims footprint effectively single-payer (Medicare-only) at present. The precomputed metric shows the top 3 Medicare codes by revenue account for 91.8% of this provider's total Medicare revenue, indicating concentrated revenue sources rather than broad-based billing across many codes.

Revenue concentration is extreme within Medicare: Q4217 alone accounts for $633.4K of Medicare revenue (86.3% of this provider's total Medicare revenue) across 565 claims at $1121 avg paid/claim. Because the top 3 codes together are precomputed to represent 91.8% of Medicare revenue, a small set of procedures drives the vast majority of the practice's billed Medicare dollars.

Clinical and service-line profile points toward advanced wound care and procedural podiatry as the operational focus: the dominant code Q4217 (biologic wound product billed per cm2) and secondary procedural codes such as 15275 (skin substitute) and 11042 (surgical debridement) suggest routine use of biologic/wound products and operative wound management. Parallel volumes in office E&M codes 99213 (449 claims, $55 avg paid/claim) and 99214 (182 claims, $87 avg paid/claim) indicate a significant office-based follow-up and management component supporting procedural care.

Despite Q4217 driving the majority of revenue, the provider's national competitive standing on that code is modest: Q4217 ranks #50 of 65 nationally (23th percentile) and is labeled in the dataset as typical, unremarkable volume for this code. In other words, high internal revenue concentration on Q4217 does not correspond to a dominant national market position for that code.

Office visit activity is comparatively stronger on common E&M metrics: 99213 ranks #32513 of 457151 providers nationally (93th percentile) and 99214 ranks #164525 of 479517 providers nationally (66th percentile), both described as typical, unremarkable volume. This pattern is consistent with an office-based podiatry practice that pairs frequent routine visits with a narrower set of higher-revenue procedural interventions.

The provider's professional tenure and specialty are established: NPI enumerated (registered) 2011-07-21 (~15 years ago) with taxonomy Foot & Ankle Surgery Podiatrist, indicating an experienced practitioner in a surgical podiatry niche. Given the modest lifetime Medicare revenue ($734.6K) and long enumeration date, this appears to be a small-to-midsize, established independent practice rather than a high-volume institutional operator.

From a payer and business risk perspective, the combination of concentrated Medicare revenue (top 3 = 91.8%) and no Medicaid billing (none below) creates payer concentration risk: changes in utilization patterns, product coverage for Q4217, or Medicare reimbursement policy for biologic wound products could materially affect revenues. For payers or competitors evaluating this provider, the profile signals a procedure-heavy, wound-care–focused podiatry practice with limited payer diversification and modest national share on its highest-revenue code.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	570	$1,120	$633.4K
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…	450	$60	$24.7K
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…	180	$90	$15.8K
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	$90	$11.4K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	100	$120	$11.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	140	$60	$8.7K
28750	In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…	20	$380	$7.1K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	230	$20	$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…	60	$60	$3.5K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	140	$20	$3.4K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

David Waters — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	1	10	570	$1,120	$633.6K
99214	1,106	3,210	110	$70	$14.9K
11721	43	70	250	$30	$12.8K
15275	3	10	80	$110	$8.6K
99213	207	3,220	90	$50	$7.9K
11042	16	70	60	$50	$6.4K
28750	1	10	20	$330	$5.7K
99204	110	1,320	30	$100	$5.3K
99203	297	1,030	30	$60	$3.3K
11055	36	40	50	$40	$3.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health System	MI	General Acute Care Hospital	$0	$335M
Henry Ford Macomb Hospital Corporation	MI	General Acute Care Hospital	$0	$40.9M
Henry Ford Health System	MI	Emergency Medicine Physician	$0	$30.4M
Henry Ford Health System	MI	Pediatrics Physician	$0	$25.7M
Henry Ford Health System	MI	Internal Medicine Physician	$0	$24.4M
Henry Ford Health System	MI	Diagnostic Radiology Physician	$0	$23M
Henry Ford Health System	MI	General Acute Care Hospital	$0	$19.3M
Henry Ford Health System	MI	Obstetrics & Gynecology Physician	$0	$17M
Henr Y Ford Health System	MI	Family Medicine Physician	$0	$11.8M
Henry Ford Health System	MI	Physician Assistant	$0	$10.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mary Lanning Memorial Hospital Association	NE	Rural Acute Care Hospital	$0	$12.9M
John Welch	NE	Retina Specialist (Ophthalmology) Physician	$10.2M	$0
William Terrell	NE	Retina Specialist (Ophthalmology) Physician	$8.6M	$0
The Bridge, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$6.8M
South Central Behavioral Services. Inc	NE	Adult Mental Health Clinic/Center	$0	$5.4M
The Mary Lanning Memorial Hospital Association	NE	Family Medicine Physician	$0	$4.3M
The Mary Lanning Memorial Hospital Association	NE	Counselor	$0	$3.1M
Hastings Surgical Center, LLC	NE	Ambulatory Surgical Clinic/Center	$238.6K	$2.2M
Retina Center Of Nebraska, P.C.	NE	Retina Specialist (Ophthalmology) Physician	$0	$2.3M
South Central Behavioral Services	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M

David Waters — 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