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

Why is the Medicaid comparison limited to California 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. California (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.

Gabriel David (NPI 1659662542)

Field	Value
Entity Type	Individual
Organization	Gabriel David
Address	11795 Education St Ste 100
City	Auburn
State	CA
ZIP	95602
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 26, 2011

Payer Source	Total Paid
Medicare	$53.4K
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practitioner: lifetime Medicare revenue is $53.4K and there is no Medicaid billing on file, so Medicaid does not contribute to the billed volume for this NPI. The absence of Medicaid billing makes the provider’s public claims footprint narrowly concentrated in Medicare administrative data rather than split across state programs.

Revenue concentration is very high across a small set of emergency E/M codes: the precomputed top 3 Medicare codes (99284, 99285, 99283) together account for 91.1% of this provider’s total Medicare revenue. Individually those codes are reported as $20.7K (38.8%), $20.2K (37.8%), and $7.8K (14.6%) of Medicare revenue, respectively, indicating a tightly concentrated revenue profile.

The code mix and descriptions point to an emergency department practice model: the top codes are 99284 (moderate-level ED E/M), 99285 (high-level ED E/M), and 99283 (low-level ED E/M), which together imply the provider’s work is predominantly ED evaluation and management across a range of acuity. The relatively high share of moderate and high complexity ED E/M codes (99284 and 99285 together represent 76.6% of Medicare revenue) suggests a generalist emergency medicine workload with frequent moderate-to-high decision making.

Competitive standing varies by code: 99284 is a national high-volume outlier for this provider (211 claims; $98 avg paid/claim; $20.7K revenue) and ranks #1947 of 64306 providers nationally (97th percentile), described as notably above typical national volume. By contrast 99285 (139 claims; $145 avg paid/claim; $20.2K revenue) falls near the middle of national peers (rank #23657 of 61347, 61th percentile) and is a typical volume profile for that high-complexity ED code.

99283 represents an extreme statistical outlier relative to national peers: 134 claims, $58 avg paid/claim, $7.8K revenue, ranking #248 of 31069 providers nationally (99th percentile). That unusually high relative volume of low-complexity ED visits is a distinguishing feature of this provider’s Medicare billing pattern and contributes meaningfully to the overall revenue concentration.

Claim-level economics vary across the top codes: average paid per claim is $98 for 99284, $145 for 99285, and $58 for 99283, which reflects expected reimbursement differences between moderate, high, and low complexity ED E/M services. These per-claim payments combined with the provider’s claim counts drive the observed revenue splits and concentrate revenue into a small number of high-volume ED E/M codes.

Tenure is substantial: the provider’s NPI was enumerated on 2011-04-26 (~15 years ago), indicating a stable, long-established billing presence in Medicare data. That longevity, combined with the concentrated ED code mix and the extreme/ notable percentiles on several codes, suggests a consistent emergency medicine practice pattern over multiple years.

Beyond the top three codes, remaining billed codes contribute relatively little to Medicare revenue (examples include 99203 at $2.1K/3.9%, 99204 at $2K/3.7%, and 99282 at $693/1.3%), reinforcing that the provider’s Medicare business is narrowly focused on ED E/M services. For analysts assessing competitive positioning or contract negotiations, this profile signals a low-diversification, ED‑centric payer relationship with Medicare representing the operative public-payer exposure.

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
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	210	$100	$20.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	140	$150	$20.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	130	$60	$7.8K
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…	30	$80	$2.1K
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…	20	$120	$2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	20	$30	$690

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. California Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	6	5,310	110	$140	$19.9K
99204	36	19,360	40	$120	$7.2K
99284	3	5,660	50	$90	$6.1K
99203	16	12,740	30	$80	$4.6K
99283	1	1,960	20	$50	$1.4K
99282	2	140	20	$30	$610

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Services Of Fl, LLC	FL	Emergency Medicine Physician	$0	$37.5M
Joseph Palumbo	WV	Emergency Medicine Physician	$7.9M	$44.3K
Robert Wendel	CA	Retina Specialist (Ophthalmology) Physician	$4.7M	$0
Margaret Chang	CA	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Tony Tsai	CA	Retina Specialist (Ophthalmology) Physician	$3.9M	$0
Joel Pearlman	CA	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
John Reed	CA	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Robert Equi	CA	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Chainarong Limvarapuss	CA	Hematology & Oncology Physician	$2.4M	$0
Elma Abella	CA	Nuclear Radiology Physician	$1.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allison Mccormick	CA	Dermatology Physician	$1.5M	$0
James Dunn	CA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$454.6K	$0
Jeffrey Bergeson	CA	Orthopaedic Surgery Physician	$298.2K	$0
Daniel Binus	CA	Psychiatry Physician	$134.3K	$0
Robert Nordman	CA	Physician Assistant	$104.5K	$0
Heath Simmons	CA	Physician Assistant	$92.7K	$0
Raad Al-shaikh	CA	Orthopaedic Surgery Physician	$74.3K	$0
Osama Zahriya	CA	Surgery Physician	$60.4K	$0
Ian Solari	CA	Sports Medicine (Family Medicine) Physician	$33.8K	$0

Gabriel David — Billing Profile & Reimbursement Data

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Gabriel David — 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