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

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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.

Alexandru David (NPI 1427202381)

Field	Value
Entity Type	Individual
Organization	Alexandru David
Address	1450 E A St
City	Casper
State	WY
ZIP	82601
Taxonomy	Infectious Disease Physician
NPI Enumerated	November 5, 2008

Payer Source	Total Paid
Medicare	$289.5K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the dataset: total Medicare revenue is $289.5K and there is no Medicaid billing on file, so all observed Medicaid-related market activity is absent and Medicare drives the practice’s documented revenue mix. Analysts should treat the profile as Medicare-focused when assessing payer exposure and growth opportunities.

Revenue is concentrated in a small set of procedures: the precomputed top‑3 Medicare codes account for 54.6% of Medicare revenue, with 99214 generating $64.6K (23.2%), 96365 generating $49.6K (17.8%), and J0897 generating $37.8K (13.6%). This concentration signals that a majority of billings are tied to office E/M work, infusion encounters, and a single injectable therapy.

The code mix and top services point to a hybrid outpatient clinic plus infusion operation: 99214 (office visits) and 96365 (initial IV infusion) together represent a large share of revenue, and 96521 (pump refills) generates $26.8K (9.6%), indicating active on‑site infusion and pump management rather than purely consultative care. These patterns are consistent with a practice that delivers outpatient parenteral therapy and manages infusion devices alongside routine E/M visits.

Competitive standing is uneven by code: 96365 ranks #98 of 8873 providers nationally (99th percentile; extreme outlier), marking the provider as a national outlier for IV infusion starts, while 99214 ranks #28373 of 479517 (94th percentile; notably above typical national volume) showing strong office visit throughput. By contrast, J0897 ranks #5971 of 10057 (40th percentile; typical), so the denosumab volume is unremarkable relative to peers.

There is a clear inpatient consult component to the practice: 99233 produced $30.6K (11.0% of Medicare revenue) from 329 claims and additional inpatient codes (99223 at $13.9K and 99232 at $7.8K) together indicate the provider performs substantial subsequent and initial inpatient/observation work in addition to outpatient services. This mix reinforces a model combining hospital‑based consults with outpatient infusion services.

Multiple high‑volume injectable antibiotic entries appear in the top codes, often with very low or zero reported payment per claim: J0690 shows 1.6K claims with $1 avg paid/claim and $1.6K revenue and ranks #3 of 343 (99th percentile; extreme outlier); J1335 has 765 claims and $8.4K revenue (91st percentile). Several other antibiotic codes (J0696, J2185, J0878) list large claim counts but $0 reported revenue in this extract, which suggests substantial antibiotic administration activity in the billing record even where Medicare payment is recorded as minimal or zero.

Operational signals from service-level ranks support an infusion‑centric practice: 96365 is an extreme outlier nationally and 96521 (pump refills) ranks #55 of 182 (70th percentile), together suggesting the provider runs recurring, device‑based outpatient therapies (refills and initial infusions) that likely generate repeat visits and procedural throughput. These service concentrations are consistent with an Infectious Disease Physician providing outpatient parenteral antibiotic therapy and related device management.

Data caveat for analysts: several codes in the top‑25 show anomalous payment reporting (multiple injectable codes with high claim counts and $0 revenue, and others with very low avg paid/claim), so interpretation should account for possible reimbursement bundling, pass‑through drug reporting, or dataset artifacts. Cross‑checking provider claims detail and line‑level drug reimbursement in source files is recommended before drawing conclusions about cash flow from those specific HCPCS entries.

Medicare: Complete Services Breakdown

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

25 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…	670	$100	$64.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	970	$50	$49.6K
J0897	Injection, denosumab, 1 mg	2,100	$20	$37.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	330	$90	$30.6K
96521	The provider refills a portable pump with a chemotherapy drug.	270	$100	$26.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$140	$13.9K
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…	170	$70	$11.1K
J1335	Injection, ertapenem sodium, 500 mg	770	$10	$8.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	130	$60	$7.8K
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…	50	$130	$5.8K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Alexandru David — 5 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	21	50	1,800	$20	$51.1K
96521	1	10	200	$100	$21.3K
99214	39	780	100	$80	$14.8K
96365	1	10	220	$50	$13.4K
99233	10	110	70	$90	$11.3K
29580	2	10	50	$50	$11.1K
99232	74	190	90	$60	$11K
99213	288	850	110	$60	$9.9K
99215	107	220	40	$120	$8.3K
99223	20	130	40	$130	$7.8K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K
Stacey Wells	AK	Radiation Oncology Physician	$2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Alexandru David — Billing Profile & Reimbursement Data

Sign up for Alexandru David — Billing Profile & Reimbursement Data policy alerts

Alexandru David — Billing Profile & Reimbursement Data

Sign up for Alexandru David — Billing Profile & Reimbursement Data policy alerts

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