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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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 Weisher (NPI 1861411191)

Field	Value
Entity Type	Individual
Organization	David Weisher
Address	9149 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Medical Specialty Clinic/Center
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$103.3K
Medicaid	$0

Key Findings

DAVID WEISHER has an established NPI (enumerated 2006-07-18, ~20 years ago), indicating long-standing Medicare enrollment and continuity of billing activity under the Medical Specialty Clinic/Center taxonomy. The tenure is consistent with a clinic that has maintained a steady presence in its market over multiple Medicare payment cycles.

This provider is effectively single-payer in scope: total Medicare revenue is $103.3K and there is no Medicaid billing on file, so Medicaid contributes $0 to the documented payer mix. Analysts should treat Medicare as the sole documented public-payer revenue stream for this entity.

Revenue concentration is materially focused: the precomputed top-three Medicare codes account for 44.7% of the provider's total Medicare revenue. Those top three codes are 99231 ($16.8K, 16.2%), 99213 ($16.6K, 16.0%), and 95816 ($12.9K, 12.5%), indicating that a minority of services generate nearly half of the Medicare dollars.

The code mix points to a hybrid outpatient/inpatient diagnostic and evaluation operation: high-volume E/M codes for inpatient follow-up (99231: 430 claims) and office established visits (99213: 308 claims) sit alongside a substantial diagnostic procedure line in EEGs (95816: 76 claims). Presence of additional electrodiagnostic codes such as 95886 (27 claims, $1.9K) and 95908 (19 claims, $1.5K) further supports that the clinic provides on-site neurodiagnostic testing in addition to standard E/M services.

Competitive standing is uneven by code. For the high-volume inpatient subsequent visit 99231 the provider ranks #1016 of 50953 nationally (98th percentile; notably above typical national volume for this code), signaling a strong national-level footprint for that specific service, whereas other frequent codes like 99213 (rank #57580 of 457151, 87th percentile) and 95816 (rank #789 of 3834, 79th percentile) reflect high-but-not-dominant activity compared with peers.

The billing pattern shows both routine and higher-acuity work: routine office and inpatient subsequent visits drive much of the caseload, but the provider also bills higher-intensity services such as 99291 (38 claims, $6.4K, 6.2% of Medicare revenue) and 99223 (64 claims, $7.4K, 7.1%). These entries indicate intermittent critical-care or initial high-complexity inpatient encounters layered on top of steady E/M and diagnostic volumes.

Operational reliance on E/M services is clear from the claims counts and revenue breakdown: 99231 (430 claims) and 99213 (308 claims) are the two largest claim counts listed, with additional meaningful volumes for 99232 (199 claims) and 99214 (127 claims). This pattern suggests the practice’s revenue model is anchored in frequent evaluation-and-management encounters across inpatient and outpatient settings, augmented by diagnostic testing.

From a scale perspective the provider’s total Medicare receipts ($103.3K) represent a modest absolute revenue footprint in the national Medicare market despite very high relative ranking on specific codes like 99231. For payers and competitors, this suggests a clinic that is highly active in a narrow set of services (notably inpatient follow-up and EEG diagnostics) but remains small in aggregate Medicare dollars and has no documented Medicaid activity to broaden its payer base.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	430	$40	$16.8K
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…	310	$50	$16.6K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	80	$170	$12.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	200	$60	$12.3K
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…	130	$80	$10.2K
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…	80	$100	$7.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$120	$7.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	$170	$6.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$150	$4.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$90	$4.1K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

David Weisher — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	33	80	100	$80	$15.5K
95816	1	10	80	$170	$12.9K
99232	4	10	140	$60	$12.8K
99291	3	10	40	$160	$9.4K
99231	1	10	230	$40	$9.2K
99233	5	10	70	$90	$8.2K
99213	11	80	100	$50	$7.6K
99205	8	20	30	$140	$4.9K
99204	7	40	40	$100	$4.4K
99223	1	10	30	$120	$4.1K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
Myrah Keating Smith Community Health Center	VI	Clinic/Center	$0	$938.1K
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Walter Rohloff	VI	Nephrology Physician	$85.2K	$100.3K
Leslie Kingslow	DC	Pulmonary Disease Physician	$176.8K	$0
James Gasho	MD	Orthopaedic Surgery Physician	$172.1K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Nelson	VI	Neurology Physician	$143.2K	$0
Jeanette Dilan-koetje	MO	Internal Medicine Physician	$133.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

David Weisher — 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