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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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 Adkison (NPI 1396743779)

Field	Value
Entity Type	Individual
Organization	David Adkison
Address	2700 10th Ave S
City	Birmingham
State	AL
ZIP	35205
Taxonomy	Sports Medicine (Orthopaedic Surgery) Physician
NPI Enumerated	July 11, 2005

Payer Source	Total Paid
Medicare	$101.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	80	$1,020	$82.7K
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…	190	$60	$11.3K
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…	50	$60	$3K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	90	$20	$1.9K
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…	30	$40	$1.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$40	$500
73020	Report this code for a single view X–ray of the shoulder.	30	$10	$360
J1030	Injection, methylprednisolone acetate, 40 mg	50	$10	$250

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

David Adkison — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
23472	1	50	20	$680	$14.3K
99213	1,462	6,470	80	$50	$7.9K
20610	395	600	60	$50	$5.1K
99203	703	2,210	30	$70	$3.1K
99212	1,086	1,240	30	$30	$2.1K
73030	102	650	40	$20	$940
J1030	147	360	40	$10	$340
73020	19	70	20	$10	$270

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hughston Clinic, P.C.	GA	Orthopaedic Surgery Physician	$0	$789.9K
John Dorchak	GA	Orthopaedic Surgery Physician	$458.7K	$0
Garland Gudger	GA	Orthopaedic Surgery Physician	$350.4K	$0
Dustin Gay	GA	Orthopaedic Surgery Physician	$306.3K	$0
Brook Bearden	GA	Orthopaedic Surgery Physician	$296.5K	$0
Randall Ruark	GA	Orthopaedic Surgery Physician	$291.5K	$0
Matthew Sarb	TN	Orthopaedic Surgery Physician	$286.5K	$0
Patrick Fernicola	GA	Orthopaedic Surgery Physician	$239.5K	$0
Ryan Geringer	GA	Orthopaedic Surgery Physician	$224.4K	$0
Douglas Pahl	GA	Orthopaedic Surgery Physician	$217.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paragon Contracting Services LLC	AL	Emergency Medicine Physician	$0	$54.5M
Oral & Facial Surgery Of Al, PC	AL	Specialist	$0	$6.4M
Pediatric Dental Associates Of Birmingham, LLC	AL	Pediatric Dentistry	$0	$6.1M
University Of Alabama At Birmingham	AL	Developmental Disabilities Clinic/Center	$0	$4.8M
Magnolia Pediatrics South Inc	AL	Pediatric Adolescent Medicine Physician	$0	$2.9M
Birmingham Pediatric Assoc	AL	Pediatrics Physician	$0	$2.5M
Alabama Ophthalmology Associates, P.C.	AL	Ophthalmology Physician	$0	$2.1M
St. Vincent's P.e.t. Center, LLC	AL	Diagnostic Radiology Physician	$1.6M	$0
St. Vincent's Birmingham	AL	General Acute Care Hospital	$0	$1.3M
Cara Bondly	AL	Hematology & Oncology Physician	$986.3K	$0

David Adkison — 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