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    OpenPayerNPI Medicare & MedicaidDavid White
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    David White — Billing Profile & Reimbursement Data

    NPI 1871882357 · Huntsville, AL · Neurology Physician

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    David White is a neurology physician provider located in Huntsville, Alabama. This profile covers 18 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 White
    Address2317 Memorial Pkwy Sw Ste 300
    CityHuntsville
    StateAL
    ZIP35801
    TaxonomyNeurology Physician
    NPI EnumeratedApril 5, 2011

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

    Payer SourceTotal Paid
    Medicare$7M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is extremely concentrated: Total Medicare revenue is $7M and the precomputed top 3 Medicare codes by revenue account for 97.9% of this provider's total Medicare revenue. J1300 alone represents $6.8M in Medicare revenue (96.5%), making the practice highly dependent on a single high-revenue code for the vast majority of its income.

    The dominant code J1300 (eculizumab injection) and the presence of infusion administration codes such as 96365, 96413, and 96401 indicate an operational focus on high-cost biologic/infusion therapy services. The mix—large volume of J1300 (38.3K claims) alongside multiple infusion/chemotherapy administration codes—suggests the provider operates as an infusion-centric neurology practice or specialty infusion site rather than a typical office-only neurology clinic.

    The provider reports high volumes of electrodiagnostic and neurophysiology services, with 95913 (277 claims) characterized as an extreme outlier (99th percentile) and 95886 (761 claims) also an extreme outlier (99th percentile). These nerve conduction and EMG code volumes, together with EEG activity (95819, 124 claims), indicate that diagnostic electrophysiology is a material service line in addition to infusion care.

    Office evaluation-and-management activity is also notable: 99214 shows 749 claims and is described as notably above typical national volume (95th percentile), while 99205 has 174 claims and is an extreme outlier (99th percentile). This pattern—substantial E/M volume at both established and complex new-patient visit levels—suggests the provider manages both ongoing infusion patients and new complex referrals that require extended assessment.

    Competitive standing varies by service line: for J1300 the record lists rank #1 of 1 providers nationally with a note that no national peer volume comparison is available, so benchmarking against peers is not possible for that code. By contrast, the provider ranks very highly on neurodiagnostic codes (95913 rank #23 of 1528, 99th percentile) and on some high-complexity E/M codes (99205 rank in the 99th percentile), marking the practice as a major outlier in those procedures relative to national peers.

    Payer mix is effectively single-payer: the profile shows Total Medicare revenue of $7M and no Medicaid billing on file (none below), meaning the provider currently has no Medicaid revenue to offset Medicare dependency. This concentration in Medicare exposes the practice to Medicare policy, reimbursement, and utilization review dynamics without Medicaid diversification.

    The provider has an established enrollment history, with NPI enumerated on 2011-04-05 (~15 years ago), indicating a long-tenured presence in the market that aligns with the development of both the infusion and electrodiagnostic service lines described above. This tenure may reflect sustained capability to deliver specialized therapies and diagnostics over time.

    From an operational and payer-risk perspective, reliance on a single high-cost drug code (J1300 at $6.8M, 96.5% of Medicare revenue) creates sensitivity to changes in drug access, coverage policies, or contracting terms; coupled with high volumes in extreme-outlier diagnostic codes, the practice profile points to specialization with concentrated revenue sources that should be considered when modeling reimbursement risk and negotiating managed-care contracts.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1300Injection, eculizumab, 10 mg38,280$180$6.8M
    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…750$90$63.7K
    95913In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…280$140$37.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…390$90$35.6K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…760$30$25.9K
    99205The 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…170$150$25.8K
    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…180$60$10.3K
    64405The provider injects an anesthetic and/or steroid agent into the greater occipital nerve, a nerve arising from the second cranial nerve, also called the optic nerve. Report this code for one or more…190$50$9.3K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…90$100$8.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.180$40$7.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J130011038,280$180$6.8M
    9641333150150$90$20.2K
    992143697,330120$80$16.8K
    9581985050$170$13K
    992156931,71040$110$8.1K
    992231,7072,14040$130$8.1K
    9591324020$170$8K
    992131,6086,47080$50$7.9K
    9636569170130$40$7.5K
    9588629050$60$7.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amit AroraALNeurology Physician$406.4K$0
    Jay VangerpenALNeurology Physician$161.1K$0
    Aruna AroraALNeurology Physician$149.1K$0
    Ian McguinnessALNeurology Physician$115K$0
    Katherine HeatonALNeurology Physician$62.7K$0
    Lauren TidwellALMedical Physician Assistant$31K$0
    Jessica EntrekinALFamily Nurse Practitioner$26.3K$0
    Courtney BrownALFamily Nurse Practitioner$16.7K$0
    Shannon SimmonsALNurse Practitioner$12.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Valley Neonatology, IncALNeonatal-Perinatal Medicine Physician$0$22.2M
    The Health Care Authority Of The City Of HuntsvilleALGeneral Acute Care Hospital$0$17.8M
    Happi HealthALFederally Qualified Health Center (FQHC)$0$17.6M
    Emergency Physicians GroupALEmergency Medicine Physician$0$13.5M
    Healthgroup Of AlabamaALContractor$0$13.4M
    The Valley FoundationALMulti-Specialty Clinic/Center$0$11.3M
    The Children's Hospital Of AlabamaALPediatric Pulmonology Physician$0$5.6M
    Huntsville Pediatric Associates, LLCALPediatrics Physician$0$4.8M
    Dental Associates Of Huntsville, LLCALGeneral Practice Dentistry$0$4.7M
    Health Group Of AlabamaALContractor$0$4.1M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    David White — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama