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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Cooper (NPI 1639183270)

Field	Value
Entity Type	Individual
Organization	David Cooper
Address	672 S River St Ste 202
City	Plains
State	PA
ZIP	18705
Taxonomy	Sports Medicine (Neuromusculoskeletal Medicine) Physician
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicare	$179.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7329	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	19,030	$10	$133.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	670	$60	$38.1K
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	110	$90	$10.3K
J1040	Injection, methylprednisolone acetate, 80 mg	210	$10	$1.5K
99203	The provider sees a new 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 provider…	20	$70	$1.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	30	$40	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

David Cooper — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7329	3	110	3,020	$10	$29.7K
J7323	76	260	80	$100	$10.6K
20610	36	1,980	60	$50	$6.7K
99203	4,969	7,330	30	$70	$3.5K
99202	383	1,040	20	$50	$1.5K
J1040	25	220	50	$10	$860

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatria Healthcare, LLC	PA	Medically Fragile Infants and Children Day Care	$0	$14M
Pediatria Healthcare, LLC	PA	Home Health Agency	$0	$13.9M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$5.7M
City Of Wilkes Barre	PA	Land Ambulance	$404.2K	$2.9M
Frank Cawley	PA	Orthopedic Physical Therapist	$1.1M	$6.5K
John Ellis	PA	Cardiovascular Disease Physician	$432.3K	$0
David Dalessandro	PA	Cardiovascular Disease Physician	$422K	$0
Sheehans Pharmacy Inc	PA	Community/Retail Pharmacy	$310.3K	$150
Walter Delgaudio	PA	Urology Physician	$215.7K	$0
Robert Fiorelli	PA	Urology Physician	$205.9K	$0

David Cooper — Billing Profile & Reimbursement Data

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David Cooper — 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