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 Sikes (NPI 1710098215)

Field	Value
Entity Type	Individual
Organization	David Sikes
Address	38051 Market Sq
City	Zephyrhills
State	FL
ZIP	33542
Taxonomy	Rheumatology Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	9,830	$30	$334.1K
J3262	Injection, tocilizumab, 1 mg	61,760	$10	$308.8K
J1602	Injection, golimumab, 1 mg, for intravenous use	27,910	$10	$307K
J9312	Injection, rituximab, 10 mg	4,200	$60	$268.8K
J0897	Injection, denosumab, 1 mg	14,520	$20	$261.4K
J0517	Injection, benralizumab, 1 mg	1,380	$130	$182.2K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5,360	$30	$139.4K
J3111	Injection, romosozumab-aqqg, 1 mg	16,170	$10	$129.4K
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…	990	$90	$89K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	15,200	$1	$60.8K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

David Sikes — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	63	130	9,350	$30	$386.8K
J0717	107	120	52,000	$1	$302.7K
J9312	11	30	3,730	$60	$253.2K
J3262	15	70	38,360	$1	$241.9K
J0517	8	20	1,350	$130	$186.6K
J1602	18	90	13,930	$10	$184.6K
J3111	70	140	16,170	$10	$166.4K
J0897	101	1,060	3,290	$20	$106.5K
J1745	17	120	2,060	$30	$80.9K
Q5119	11	40	1,850	$20	$50.1K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Medical Clinic, LLC	FL	Clinical Medical Laboratory	$2.5M	$7.3K
Susmitha Apuri	FL	Medical Oncology Physician	$1.9M	$0
Amarilis Torres	FL	Rheumatology Physician	$1.7M	$0
Jessica Rondon	FL	Psychiatric/Mental Health Nurse Practitioner	$1.7M	$0
Ernesto Rodriguez	FL	Rheumatology Physician	$1.6M	$0
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0
Christine Simone	FL	Hematology & Oncology Physician	$1.2M	$0
Natalie Faith	FL	Rheumatology Physician	$1.1M	$0
Michaela Klein	IL	Surgery Physician	$944.5K	$0
David Rivera	FL	Rheumatology Physician	$658.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zephyrhills Dialysis Center LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.2M
Jacob Lee	FL	Retina Specialist (Ophthalmology) Physician	$2.6M	$182.7K
Walter Moscoso	FL	Ophthalmology Physician	$858.9K	$0
Aung Tun	FL	Cardiovascular Disease Physician	$663K	$0
Vladimir Curkovic	FL	Cardiovascular Disease Physician	$638.9K	$0
Craig Munger	FL	Ophthalmic Plastic and Reconstructive Surgery Physician	$496.6K	$0
Wiregrass Ranch Asc Holdings LLC	FL	Ambulatory Surgical Clinic/Center	$468K	$0
Jonathan Kaufman	FL	Ophthalmology Physician	$420.6K	$0
Stuart Kaufman	FL	Ophthalmology Physician	$414.3K	$0
Ghazanfar Khadim	FL	Interventional Cardiology Physician	$389.4K	$0

David Sikes — Billing Profile & Reimbursement Data

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David Sikes — 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

Nearby Providers

Frequently Asked Questions

References