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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Flemming
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    David Flemming — Billing Profile & Reimbursement Data

    NPI 1760575468 · Monterey, CA · Urology Physician

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    David Flemming is a urology physician provider located in Monterey, California. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Flemming
    Address757 Pacific Street
    CityMonterey
    StateCA
    ZIP93940
    TaxonomyUrology Physician
    NPI EnumeratedOctober 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$103.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…750$70$49.5K
    52000In 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…70$200$14.3K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…30$320$8.8K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…30$270$8.3K
    99214The 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…70$100$6.9K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.10$440$6.2K
    81000The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…940$1$3.8K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.20$110$1.9K
    99203The 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$80$1.7K
    53661The female urethral dilation CPT codes (53660–53665) involve the insertion of dilators, usually multiple dilators of progressively increasing size, to widen the urethra, and promote complete voiding…30$60$1.7K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921424,16737,970120$90$23.2K
    517288117030$310$18.2K
    50590528020$780$17.9K
    522814511020$310$17.2K
    5200034372070$180$16K
    992131,73934,66080$70$13.2K
    7687231242030$100$5.1K
    992038,17912,74030$80$4.6K
    5366151030$60$3.3K
    51798296670130$10$2.2K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Hospital Of The Monterey PeninsulaCAGeneral Acute Care Hospital$0$88.5M
    Monterey Bay Endoscopy Center LLCCAAmbulatory Surgical Clinic/Center$2.3M$4.9M
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$2.3M$0
    Nancy RubinCAHematology & Oncology Physician$2M$0
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$2M$11.3K
    Braden BurckhardCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Salar DeldarCAPain Medicine (Physical Medicine & Rehabilitation) Physician$1.2M$0
    Lulu ZhangCAHematology & Oncology Physician$1.2M$0
    Nancy TrayCAInternal Medicine Physician$1.1M$0
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$721.9K$409K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    David Flemming — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California