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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Daniel Dooley (NPI 1528324852)

Field	Value
Entity Type	Individual
Organization	Daniel Dooley
Address	110 Irving St Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	April 11, 2012

Payer Source	Total Paid
Medicare	$323.7K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the datasets available: Total Medicare revenue is $323.7K while Medicaid shows none (no Medicaid billing on file), so Medicare entirely dominates reported public‑payer activity for this NPI. Analysts should treat payer exposure as concentrated in the Medicare population when assessing revenue risk and utilization patterns.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes account for 67.8% of this provider's total Medicare revenue. Those top codes are 99214 ($120.3K, 37.3%), 93306 ($68K, 21.0%), and 78452 ($30.7K, 9.5%), indicating that most revenue flows from office E/M visits and non‑invasive cardiac imaging/stress testing.

The code mix indicates an outpatient, non‑invasive cardiology practice model rather than an interventional service line. High revenue shares from 99214 (established patient E/M), 93306 (transthoracic echocardiography), and 78452 (cardiac SPECT stress studies) show the practice combines longitudinal office care with on‑site diagnostic imaging and stress testing.

99214 is a clear outlier in national volume: it ranks #5539 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). That extreme standing, paired with 1.3K claims and $120.3K revenue for 99214, suggests a large Medicare established‑patient panel and a workflow oriented to frequent follow‑up visits.

New patient visits are also notable: 99204 ranks #4411 of 227068 providers nationally (98th percentile; notably above typical national volume for this code) with 206 claims and $24.3K revenue, implying sustained new patient intake in addition to high established‑patient volume. Together, high ranks for both 99204 and 99214 point toward active outpatient referral and intake rather than episodic inpatient‑only care.

Non‑invasive testing volumes are above typical but not dominant: 93306 ranks #3373 of 24624 (86th percentile; typical, unremarkable volume) and 78452 ranks #5365 of 14946 (64th percentile; typical, unremarkable volume). These positions indicate the provider is an established regional performer in echocardiography and nuclear stress testing but not an outsized national leader in those imaging modalities.

Electrocardiography throughput is unusually high in volume terms: 93000 shows 1.3K claims, $12.7K revenue (3.9% of Medicare revenue) and ranks #798 of 71016 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). The combination of very high ECG claim counts with low per‑claim payment ($10 avg) suggests protocolized ECG use across many encounters rather than high‑value single procedures.

Tenure and operational implications: the NPI was enumerated on 2012-04-11 (~14 years ago), indicating an established billing history. The sustained pattern of high E/M and diagnostic imaging billing across Medicare suggests a mature outpatient cardiology operation that would be relevant for network contracting, utilization management, and capacity planning discussions.

Medicare: Complete Services Breakdown

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

20 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…	1,310	$90	$120.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	510	$130	$68K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	80	$370	$30.7K
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…	210	$120	$24.3K
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…	170	$100	$16.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,270	$10	$12.7K
93245	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient who wears it for more than seven days, up to 15 days, to help detect abnormal heart rates and…	50	$220	$11.6K
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…	80	$140	$11.2K
J2785	Injection, regadenoson, 0.1 mg	160	$40	$6.7K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	110	$50	$5.8K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Daniel Dooley — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	12	80	240	$110	$32.4K
78452	13	40	60	$340	$22.6K
99233	222	650	90	$100	$17.6K
99214	4	1,400	90	$100	$15.3K
99215	439	660	50	$130	$12.3K
93245	3	20	30	$240	$11K
99213	827	1,200	50	$70	$8.5K
99223	110	610	40	$140	$8.4K
J2785	14	30	150	$40	$6.8K
99204	10	670	30	$130	$6.4K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medstar Medical Group Ii LLC	MD	General Practice Physician	$0	$91.5M
Howard Hauptman	MD	Rheumatology Physician	$2.9M	$0
Cardiology Associates, LLC	DC	Specialist	$0	$1.9M
Kelly Orwat	SC	Internal Medicine Physician	$1.3M	$0
Stephen Ronson	MD	Specialist	$1.2M	$0
Prashanth Rao	MD	Cardiovascular Disease Physician	$1.1M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Atif Rasheed	TN	Emergency Medicine Physician	$832.9K	$54.7K
Jazibeh Qureshi	MD	Rheumatology Physician	$880.1K	$0
Paresh Shah	MD	Clinical Cardiac Electrophysiology Physician	$836K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
National Rehabilitation Hospital Inc	DC	Rehabilitation Hospital	$0	$16.9M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M

Daniel Dooley — 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