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

Why is the Medicaid comparison limited to Florida 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. Florida (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 Zapala (NPI 1629050935)

David Zapala is a audiologist provider located in Jacksonville, Florida. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	David Zapala
Address	4500 San Pablo Rd S
City	Jacksonville
State	FL
ZIP	32224
Taxonomy	Audiologist
NPI Enumerated	November 14, 2005

Payer Source	Total Paid
Medicare	$26.5K
Medicaid	$0

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

12 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.	80	$80	$6.6K
92546	The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…	60	$90	$5.2K
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…	170	$30	$4.5K
92519	In this procedure, the provider measures the patient’s response to high–level acoustic stimuli (sound) using electrodes placed on the neck (cervical region) and near the eye (for ocular muscles). The…	40	$100	$4.1K
92542	The provider uses electronystagmography or infrared videonystagmography electrodes to measure and record the rapid movements of the eyeball when the patient changes the position of the head.	70	$20	$1.4K
92541	The provider uses electronystagmography electrodes or infrared videonystagmography to measure and record the rapid movements of the eyeball while keeping the position of the head static.	70	$20	$1.3K
92550	The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…	70	$10	$970
92700	Use 92700 to report otorhinolaryngological procedures that do not have a specific code.	40	$20	$730
92570	The provider uses this global service code which bundles a tympanometry, reflex threshold measurement, and reflex decay testing when the provider performs all three tests. This group of services…	20	$30	$440
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	40	$10	$440

Showing 1–10 of 12

David Zapala — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	226	610	110	$30	$4.4K
92546	17	110	30	$90	$3.4K
92540	19	200	30	$80	$3.2K
92519	3	10	30	$100	$3.1K
92570	34	40	60	$20	$2K
92567	384	540	90	$10	$1.7K
92541	5	10	30	$20	$1.5K
92550	67	170	50	$20	$1.5K
92542	5	20	40	$20	$1.3K
92537	139	170	30	$30	$1.1K