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

Why is the Medicaid comparison limited to Utah 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. Utah (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 Adams (NPI 1669695920)

Field	Value
Entity Type	Individual
Organization	David Adams
Address	1380 E Medical Center Dr Ste 2100
City	St George
State	UT
ZIP	84790
Taxonomy	Urology Physician
NPI Enumerated	April 11, 2007

Payer Source	Total Paid
Medicare	$105.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	170	$170	$28.6K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	40	$530	$21.3K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	50	$310	$14.1K
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…	110	$90	$9.9K
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…	130	$60	$7.7K
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…	70	$110	$7.2K
64566	In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin.	70	$80	$5.7K
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…	70	$70	$4.7K
52630	In this procedure, the provider resects prostate tissue left after a previous procedure or regrowth after a previous resection.	10	$270	$3K
52332	The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$100	$1.5K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

David Adams — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52601	2	30	10	$610	$12.9K
52000	6	60	60	$150	$12.6K
99214	1,627	4,080	80	$80	$11.6K
52356	1	30	20	$480	$10.1K
64566	7	10	90	$80	$7.5K
99213	990	3,680	60	$50	$6.4K
99204	263	1,790	30	$100	$4.1K
52332	23	30	20	$180	$4K
52630	1	10	10	$270	$3K
99203	212	1,360	30	$70	$2.7K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ron Lord	UT	Ophthalmology Physician	$3.2M	$0
Richard Corey	UT	Retina Specialist (Ophthalmology) Physician	$3M	$50.1K
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Corey Walker	UT	Rheumatology Physician	$2.3M	$0
Claron Alldredge	UT	Ophthalmology Physician	$1.3M	$0
Jamison Jones	UT	Cardiovascular Disease Physician	$1M	$0
Ihc Health Services Inc	UT	Pediatrics Physician	$0	$589.2K
Viktoria Kaplan	UT	Neurology Physician	$517.8K	$0
David Cragun	UT	Cardiovascular Disease Physician	$465.1K	$940
Daniel Lupash	UT	Rheumatology Physician	$423.3K	$0

David Adams — Billing Profile & Reimbursement Data

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David Adams — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References