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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Mize (NPI 1598956740)

Field	Value
Entity Type	Individual
Organization	David Mize
Address	4065 Capital Dr
City	Rocky Mount
State	NC
ZIP	27804
Taxonomy	Audiologist
NPI Enumerated	August 5, 2007

Payer Source	Total Paid
Medicare	$3.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	20	$80	$1.6K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	70	$20	$1.5K
92538	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with water, either warm or cool but not both (monothermal), while evaluating the patient’s eye…	20	$20	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

David Mize — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	193	320	90	$20	$3K
92540	22	40	20	$80	$2.4K
92538	3	10	20	$20	$400

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Educare Community Living Corporation - North Carolina	NC	Community/Behavioral Health Agency	$0	$69.3M
Nash Hospitals Inc	NC	General Acute Care Hospital	$0	$42.4M
Boice-willis Clinic PA	NC	Internal Medicine Physician	$0	$27.8M
Wake Emergency Physicians PA	NC	Emergency Medicine Physician	$0	$8.8M
Opportunities Industrialization Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$8.1M
County Of Nash	NC	Land Ambulance	$1M	$2.3M
County Of Halifax	NC	Land Ambulance	$495.6K	$2.3M
Boice-willis Clinic, PA	NC	Clinical Medical Laboratory	$509.1K	$735.1K
Karn Gupta	NC	Nephrology Physician	$944.8K	$0
Aristides Assimacopoulos	NC	Infectious Disease Physician	$360.7K	$450.7K

David Mize — Billing Profile & Reimbursement Data

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David Mize — 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