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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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 Creech (NPI 1659607406)

Field	Value
Entity Type	Individual
Organization	David Creech
Address	200 Banning St Ste 130
City	Dover
State	DE
ZIP	19904
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 29, 2009

Payer Source	Total Paid
Medicare	$708.2K
Medicaid	$0

Key Findings

This provider’s commercial picture is essentially single‑payer: total Medicare revenue on file is $708.2K and there is no Medicaid billing on file, so Medicare accounts for essentially all documented public‑payer activity for this NPI. The absence of any Medicaid claims indicates minimal to no engagement with state Medicaid payers in available records.

Revenue is heavily concentrated in cataract‑related surgery: the top three Medicare codes (66984, 66821, 66982) account for 62.3% of this provider’s total Medicare revenue. Individually those codes generated $282K (39.8%), $80.6K (11.4%), and $78.7K (11.1%) respectively, signaling that extracapsular/intraocular lens procedures and posterior capsulotomy are the core service lines driving revenue.

The code mix shows an operational focus on high‑volume cataract surgery plus related diagnostics and interventions: 66984 (cataract extraction with IOL) is the single largest revenue driver, 66821 (laser posterior capsulotomy) is a major follow‑on procedure, and 66982 (complex IOL insertion) is also a material contributor. Complementary codes such as 92136, 92134, and 92133 indicate substantial use of imaging and biometry to support surgical planning and follow up.

Against national peers this provider is above average for several cataract and diagnostic services: 66821 and 66982 both sit at the 96th percentile nationally (described in source as "96th percentile; typical, unremarkable volume") and 66984 is at the 85th percentile ("typical, unremarkable volume"). These rankings suggest a solid national competitive standing for surgical cataract work and related procedures rather than market dominance.

Atypical evaluation/management (E/M) billing is evident: code 99204 is labeled an "extreme outlier, far above typical national volume," with 439 claims and $48.3K in revenue (6.8% of Medicare revenue), indicating unusually high new‑patient moderate‑complexity office visits for this specialty. Established‑patient E/M codes 99214 and 99213 also appear in the top codes but contribute smaller shares, implying a mix of new consults and routine follow‑ups alongside surgical volume.

Several procedure codes are flagged as notably above typical national volume and reflect high throughput low‑unit‑reimbursement work: 92136 (595 claims, $19.6K; "notably above typical national volume") and 68841 (595 claims, $7.7K; "notably above typical national volume"). This pattern is consistent with a practice that pairs high numbers of diagnostic or minor interventions with fewer high‑dollar surgical encounters.

Glaucoma‑related interventions are a meaningful secondary service line: 66991 (combined IOL and aqueous drainage device) generated $43.8K (6.2% of Medicare revenue) and ranks in the 92th percentile, while 66174 ($25.5K, 3.6%) and 65855 ($20.3K, 2.9%) are also present and described as above typical or typical volumes. These entries indicate regular performance of glaucoma procedures in addition to primary cataract surgery.

The provider has an established NPI history (enumerated 2009-10-29, approximately 17 years ago), consistent with a stable, surgery‑oriented ophthalmology practice focused on Medicare patients. Combined with the concentrated revenue mix and lack of Medicaid billing, the profile reads as a mature, Medicare‑centered cataract and glaucoma surgical practice with substantial diagnostic throughput.

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
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	680	$420	$282K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	310	$260	$80.6K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	140	$570	$78.7K
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…	440	$110	$48.3K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	80	$520	$43.8K
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…	470	$90	$40K
66174	The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.	100	$260	$25.5K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	110	$190	$20.3K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	600	$30	$19.6K
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…	270	$60	$16.7K

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. Delaware Distribution

David Creech — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	8	50	70	$590	$163.6K
66991	3	10	50	$1,590	$85.6K
66982	4	20	60	$700	$60K
66174	1	10	100	$520	$51.6K
66821	5	30	140	$230	$37.1K
99214	362	1,830	150	$80	$25.5K
99213	465	1,810	120	$60	$13.6K
92136	4	20	160	$30	$8.3K
92134	18	100	80	$30	$7.5K
65855	1	10	40	$150	$7K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Munro	DE	Ophthalmology Physician	$558.9K	$0
Jeffrey Boyd	DE	Ophthalmology Physician	$491.4K	$0
Halpern Medical Services LLC	DE	Ophthalmology Physician	$0	$449.1K
Sanjay Kamat	NY	Ophthalmology Physician	$377.7K	$970
Samuel Halpern	DE	Optometrist	$154.3K	$0
Katrina Chin Loy	DC	Ophthalmology Physician	$52.8K	$19.1K
David Lu	DE	Ophthalmology Physician	$7.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$37.9M
At Home Infucare, LLC	DE	Home Health Agency	$0	$28.5M
Amazing Home Care Agency	DE	Home Health Agency	$0	$18.7M
Dedicated To Women Ob-gyn, P.A.	DE	Obstetrics & Gynecology Physician	$0	$11.1M
Help At Home Of Delaware, LLC	DE	In Home Supportive Care Agency	$0	$10.7M
A Center For Mental Wellness, Inc.	DE	Mental Health Counselor	$0	$9.9M
State Of Delaware	DE	Case Management Agency	$0	$9.2M
West Dover Dental, LLC	DE	Dentist	$0	$9M
Americare Home Solutions	DE	In Home Supportive Care Agency	$0	$8.4M
Vicdania Health Services LLC	DE	Home Health Agency	$0	$7.4M

David Creech — 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