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

Why is the Medicaid comparison limited to Vermont 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. Vermont (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 Cleary (NPI 1396009874)

Field	Value
Entity Type	Individual
Organization	David Cleary
Address	111 Colchester Ave
City	Burlington
State	VT
ZIP	05401
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	June 28, 2012

Payer Source	Total Paid
Medicare	$260.1K
Medicaid	$0

Key Findings

The provider’s code mix clearly identifies a clinical cardiac electrophysiology practice with substantial device management activity; top procedure codes include EP ablation/ pulmonary vein isolation (93656) and multiple pacemaker/ICD interrogation and adjustment codes (for example 93296, 93294, 93295, 93280, 93284). This blend of invasive EP procedures and frequent device follow-up suggests the operation combines episodic procedural work with an ongoing remote-monitoring and device clinic model that supports longitudinal device care.

Revenue is moderately concentrated: the top 3 Medicare codes by revenue account for 35.6% of this provider’s total Medicare revenue, and those top three are 93656 ($36.8K, 14.8%), 93229 ($33.4K, 13.5%), and 93296 ($17.9K, 7.2%). This concentration means a few procedure and monitoring codes drive a meaningful share of the reported $260.1K in Medicare revenue.

This provider is effectively single-payer in the available data — total Medicare revenue is $260.1K and there is no Medicaid billing on file — so Medicare policy and reimbursement levels are the primary determinants of the revenue base. Analysts should treat the practice as Medicare-dependent for payer-mix modeling and sensitivity testing regarding changes to device-monitoring or EP reimbursement.

In competitive standing, the provider is a national-level outlier on multiple device-related codes: 93296 ranks #253 of 4996 providers nationally (95th percentile; typical, unremarkable volume), 93295 ranks #271 of 4938 (94th percentile; notably above typical national volume), 93294 ranks #493 of 7466 (93th percentile; notably above typical national volume), 93284 ranks #111 of 3189 (96th percentile; notably above typical national volume), and 93279 ranks #64 of 2258 (97th percentile; notably above typical national volume). These high percentiles indicate stronger-than-typical activity versus national peers in remote device interrogation and in-person device reprogramming, even though total Medicare revenue is modest.

By contrast, invasive electrophysiology ablation procedures and pacemaker implants are at typical or modest national volumes: 93656 is 52 claims and $36.8K revenue and ranks #356 of 2048 (82th percentile; typical, unremarkable volume), 93653 ranks #231 of 947 (72th percentile; typical, unremarkable volume), and 33208 ranks #1371 of 3026 (51th percentile; typical, unremarkable volume). That pattern implies the provider does perform ablation and implant work but is not a dominant national producer of high-revenue procedural EP services.

Operationally, the practice shows a high-volume, low-unit-reimbursement profile for technical remote-monitoring services: for example, 93296 appears as 1.1K claims at $16 avg paid/claim producing $17.9K revenue, and 93294 shows 719 claims at $20 avg paid/claim producing $14.4K revenue. This suggests a workflow and revenue model that relies on large claim counts for device surveillance and technician/technical components rather than large single-procedure reimbursements.

Tenure and stability are evident: the provider’s NPI was enumerated on 2012-06-28 (~14 years ago), indicating an established practice footprint and duration that supports ongoing longitudinal device surveillance relationships with Medicare patients. That tenure aligns with the sizable recurring monitoring claim counts visible in the billing mix.

From a risk and management standpoint, the combination of single-payer exposure and the concentration of revenue in a small set of device-monitoring and EP codes (top 3 = 35.6% of Medicare revenue) means policy or coding changes affecting remote interrogation or device-related services could disproportionately affect this provider’s revenue. Payers and network managers should monitor changes to technical-component reimbursement and remote monitoring rules when modeling future spend for this clinician.

Medicare: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	50	$710	$36.8K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	50	$680	$33.4K
93296	The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…	1,120	$20	$17.9K
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…	170	$100	$15.8K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	260	$60	$15K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	720	$20	$14.4K
93653	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…	20	$620	$12.4K
93295	In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…	400	$30	$10K
93284	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of various operating functions of an already implanted multiple lead defibrillator…	130	$80	$9.8K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	20	$390	$8.9K

Showing 1–10 of 34

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

David Cleary — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

34 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93229	1	10	50	$680	$33.4K
93656	1	10	20	$690	$18K
93653	1	10	20	$620	$12.4K
99214	310	960	90	$70	$10.6K
93296	1	10	660	$20	$10.5K
33208	3	10	20	$370	$10.3K
99233	166	220	50	$90	$8K
99215	140	410	40	$110	$7.2K
99232	237	320	60	$60	$7.1K
93655	1	10	30	$240	$6.8K

Showing 1–10 of 34

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$162.2M
Multicare Health System	WA	Children's Hospital	$0	$108.4M
Multicare Health System	WA	General Acute Care Hospital	$0	$77.8M
Multicare Health System	WA	Family Medicine Physician	$0	$75M
Multicare Health System	WA	General Acute Care Hospital	$0	$55.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Multicare Health System	WA	Community/Behavioral Health Agency	$0	$48.2M
Multicare Health System	WA	Internal Medicine Physician	$0	$46.6M
Multicare Health System	WA	General Acute Care Hospital	$0	$30.9M
Multicare Health System	WA	Pediatrics Physician	$0	$29.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard Center Inc	VT	Developmentally Disabled Services Day Training Agency	$0	$332.2M
Howard Center Inc	VT	Adolescent and Children Mental Health Clinic/Center	$0	$130.1M
Vermont Department Of Mental Health	VT	Adult Mental Health Clinic/Center	$0	$105.1M
Community Health Centers Of Burlington Inc	VT	Federally Qualified Health Center (FQHC)	$0	$39.8M
Howard Center Inc	VT	Methadone Clinic	$517.9K	$35M
Howard Center Inc	VT	State or Local Public Health Clinic/Center	$0	$23.4M
University Of Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$17.6M
Transition Ii	VT	Case Manager/Care Coordinator	$0	$17.3M
The Dental Center At Community Health Center Of Burlington	VT	Dental Clinic/Center	$0	$6.7M
City Of Burlington Vermont	VT	Land Ambulance	$677.2K	$4.3M

David Cleary — 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