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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Alan Daniels (NPI 1760642698)

Field	Value
Entity Type	Individual
Organization	Alan Daniels
Address	1 Kettle Point Ave
City	East Providence
State	RI
ZIP	02914
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 13, 2008

Payer Source	Total Paid
Medicare	$361.4K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: Total Medicare revenue is $361.4K and there is no Medicaid billing on file (none below). That concentration means payer-facing analyses and contracting discussions should treat this practice as serving a predominantly Medicare population rather than a mixed Medicaid/Medicare panel.

Revenue is materially concentrated in spine-fusion codes: the top three Medicare codes 22614 ($50K, 14.0%), 22633 ($48K, 13.4%), and 22612 ($27.8K, 7.7%) together account for 35.1% of this provider's total Medicare revenue. This degree of concentration on a few high-value procedures indicates a business model driven by surgical spine interventions rather than broad-based primary or multispecialty care.

The CPT mix points to a spine-focused orthopaedic surgery practice that performs complex fusion and instrumentation procedures: high-revenue codes include 22614, 22633, 22612, 22842 (spinal instrumentation), 22853 (interbody device), and osteotomy codes such as 22214. The presence of decompression and reexploration codes (63042, 63047, 63048) alongside instrumentation and interbody codes suggests the surgeon performs both primary fusion procedures and multi-level or staged spine operations.

Several procedure-level competitiveness signals show above-typical national volumes for select spine services: 22614 ranks #70 of 2525 providers nationally (97th percentile; notably above typical national volume for this code) and 22842 ranks in the 94th percentile (notably above typical national volume for this code). At the same time, some central fusion codes like 22633 and 22612 are described as typical or unremarkable volumes (22633: ranks #142 of 1677 providers nationally (91th percentile; typical, unremarkable volume for this code); 22612: ranks #257 of 1984 providers nationally (86th percentile; typical, unremarkable volume for this code)), indicating the provider is a relatively high-volume performer on a subset of fusion-related procedures but not uniformly dominant across every spine code.

Imaging and plain radiography volumes are pronounced outliers versus national peers, which is operationally important: 73552 has 203 claims ($11.2K revenue) and ranks in the 99th percentile (notably above typical national volume for this code), 72082 has 210 claims ($11.1K revenue) and ranks in the 97th percentile (notably above typical national volume for this code), and 72170 has 203 claims ($4.5K revenue) and ranks in the 99th percentile (extreme outlier, far above typical national volume for this code). These elevated radiograph volumes suggest significant in-practice or closely affiliated imaging activity that supports the surgical spine workload.

The practice also manages routine outpatient follow-up and evaluation care at typical rates for national peers: 99214 appears 188 times ($18K revenue) and ranks in the 66th percentile (typical, unremarkable volume for this code), while 99213 appears 132 times ($9K revenue) and ranks in the 67th percentile (typical, unremarkable volume for this code). This mix implies steady ambulatory management of established spine patients alongside operating-room activity rather than a clinic-only or purely surgical-only model.

Codes consistent with revision and device-related procedures appear in the top list and show concentrated experience with these services: 22849 (reinsertion of spinal fixation device) generated $12.1K and ranks #3 of 28 providers nationally (89th percentile; typical, unremarkable volume for this code), while reexploration and additional-segment decompression codes such as 63042 and 63044 also appear. Presence and ranking on these codes indicate the provider performs revision and complex reconstructive spine work in addition to primary fusion cases.

The provider has long tenure on file (NPI enumerated 2008-06-13 (~18 years ago)), which, combined with the Medicare-only revenue profile and the concentration in high-complexity spine codes, suggests an established spine surgery practice whose referral, imaging, and perioperative patterns are adapted to an older, Medicare-dominant patient population rather than to Medicaid-covered services.

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
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	190	$260	$50K
22633	In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…	40	$1,260	$48K
22612	The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	40	$790	$27.8K
27280	The provider uses an open approach to surgically immobilize the sacroiliac joint in the pelvis by inducing artificial bone generation in the joint area. The code includes obtaining a bone graft from…	20	$1,410	$22.6K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	40	$560	$22.4K
22214	The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the…	40	$590	$21.2K
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…	190	$100	$18K
63042	This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…	20	$1,070	$16K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	60	$200	$12.7K
22849	The provider reinserts a spinal fixation device due to failure of the device or one of its components.	30	$490	$12.1K

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. Rhode Island Distribution

Alan Daniels — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22633	1	10	20	$1,010	$19.2K
22614	1	10	50	$220	$15.8K
22612	1	10	20	$850	$15.2K
27280	1	10	10	$960	$13.4K
22214	1	10	30	$460	$11.9K
99214	538	1,950	100	$80	$11.7K
63042	1	10	20	$790	$11.1K
22224	1	10	10	$890	$10.7K
22840	2	10	20	$570	$9.7K
63047	7	10	20	$510	$8.7K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Orthopedics, Inc.	RI	Orthopaedic Surgery Physician	$0	$5.3M
University Orthopedics, Inc.	RI	Ambulatory Surgical Clinic/Center	$727.3K	$7.8K
Jeffrey Feden	RI	Emergency Medicine Physician	$35.2K	$674.7K
Zachary Bohart	MA	Physical Medicine & Rehabilitation Physician	$645.1K	$5.9K
Adam Starr	NC	Orthopaedic Hand Surgery Physician	$579.7K	$430
Uoi East Bay Surgery Center LLC	RI	Ambulatory Surgical Clinic/Center	$552.9K	$0
Stephanie Wheeler	RI	Physical Therapist	$19.9K	$441.7K
Anand Patel	NJ	Orthopaedic Surgery Physician	$442.7K	$0
Christopher Glezos	CA	Orthopaedic Surgery Physician	$422.2K	$0
Jason Fanuele	MA	Orthopaedic Surgery Physician	$349.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Side Clinical Laboratory, Inc.	RI	Clinical Medical Laboratory	$4.1M	$48.6M
Beacon Hospice, LLC	RI	Community Based Hospice Care Agency	$0	$47.2M
The Summit Management Group, LLC	RI	Home Health Agency	$0	$10.6M
Independence, LLC	RI	Durable Medical Equipment & Medical Supplies	$0	$8.1M
Access Healthcare, Inc.	RI	Home Health Agency	$0	$7.1M
Winslow Gardens	RI	Assisted Living Facility	$0	$4.9M
Prestige Aba Therapy Services, Inc	RI	Behavior Analyst	$0	$3.8M
Coastline Emergency Medical Services, Inc	RI	Land Ambulance	$1.5M	$1.9M
Primary Medical Center And Walk-in LLC	RI	Family Medicine Physician	$0	$2.9M
Rhode Island Hospital	RI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M

Alan Daniels — 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