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 Gordon (NPI 1407949332)

Field	Value
Entity Type	Individual
Organization	David Gordon
Address	4530 Southlake Pkwy # A
City	Birmingham
State	AL
ZIP	35244
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicare	$29.4K
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
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…	260	$80	$20K
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…	140	$50	$7.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	100	$10	$970
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	110	$10	$550
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	80	$1	$230
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	30	$10	$160
J0690	Injection, cefazolin sodium, 500 mg	40	$1	$40
J1100	Injection, dexamethasone sodium phosphate, 1 mg	50	$0	$0

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 Gordon — 0 of 7 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
99214	2,040	7,330	120	$80	$16.8K
99213	2,041	6,470	80	$50	$7.9K
36415	725	1,550	100	$10	$4.8K
82043	186	280	40	$10	$2.1K
96372	931	2,500	70	$10	$1.1K
81002	148	850	30	$1	$210
J1100	1,296	1,430	210	$1	$40
J0690	4	10	40	$1	$30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$17.7M
Eh Health Hospice Of Alabama, LLC	AL	Community Based Hospice Care Agency	$0	$7.2M
Pediatric And Adolescent Dentistry, LLC	AL	Pediatric Dentistry	$0	$5.3M
Stratford Enterprises Inc	AL	Community Based Hospice Care Agency	$0	$4.7M
Medplex Pediatric Dentistry, Inc.	AL	Pediatric Dentistry	$0	$3.9M
Elizabeth Perkins	AL	Rheumatology Physician	$2.9M	$0
William Thomas	AL	Pediatric Dentistry	$0	$2.1M
City Of Hoover	AL	Land Ambulance	$529.7K	$202K
Lauren Bannon	AL	Physician Assistant	$561.1K	$0
Diane Counce	AL	Neurology Physician	$501.8K	$0

David Gordon — Billing Profile & Reimbursement Data

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David Gordon — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References