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

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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 Allain (NPI 1801281506)

Field	Value
Entity Type	Individual
Organization	David Allain
Address	1514 Jefferson Hwy
City	New Orleans
State	LA
ZIP	70121
Taxonomy	Anesthesiology Physician
NPI Enumerated	March 31, 2015

Payer Source	Total Paid
Medicare	$8.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	10	$180	$2.3K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	50	$30	$1.7K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$60	$1.4K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	10	$90	$1.1K
64420	The provider injects an anesthetic agent and/or steroid in one of the ventral branches of the thoracic spinal nerves located under each rib, called an intercostal nerve. Report this code for one or…	10	$60	$850
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	10	$60	$650
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	30	$10	$310
93313	In this procedure, the provider places a transesophageal probe in preparation for performing transesophageal echocardiography (TEE) to obtain a two–dimensional (2D) image for visualization of the…	20	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

David Allain — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00537	21	30	10	$210	$4.2K
00811	385	420	20	$90	$3.5K
00731	265	600	20	$80	$2.6K
01922	96	120	20	$90	$1.9K
64420	2	10	30	$50	$1.5K
36620	11	170	20	$30	$850
76937	67	150	20	$10	$510
93313	1	10	20	$10	$130

David Allain — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References