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

    NPI 1891159273 · Durham, NC · Diagnostic Radiology Physician

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    David Peterson is a diagnostic radiology physician provider located in Durham, North Carolina. This profile covers 23 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 Peterson
    Address2301 Erwin Rd
    CityDurham
    StateNC
    ZIP27710
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 11, 2016

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

    Payer SourceTotal Paid
    Medicare$93.9K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…970$40$33.9K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…960$30$26.9K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…550$10$5K
    77065The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…140$30$3.8K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…40$90$3.7K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.50$60$2.9K
    G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)150$20$2.6K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.110$20$2.3K
    19083Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.20$110$2.2K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…60$30$1.9K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7706759650180$70$24.7K
    7881511920060$190$20.4K
    7706360640180$40$12.4K
    74177615840110$80$11.9K
    7418317123040$110$7K
    190834211020$270$5.6K
    7127563168060$70$5.5K
    7417675580060$70$5.2K
    19081768020$270$5.1K
    7126065670060$50$4.1K

    Showing 1–10 of 23

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Private Diagnostic Clinic, PLLCNCGeneral Practice Physician$0$46.5M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$44.4M
    Duke Health Integrated Practice, Inc.NCGeneral Practice Physician$0$36.3M
    Michael AllinghamNCRetina Specialist (Ophthalmology) Physician$1.7M$0
    Jonathan CookNCDermatology Physician$1.6M$0
    Tywana DonaldsonNCNurse Practitioner$1.4M$0
    Pretesh PatelNCRadiation Oncology Physician$668.8K$0
    Pedro VargasNCDiagnostic Radiology Physician$439.5K$0
    Michael RehornNCStudent in an Organized Health Care Education/Training Program$369.4K$0
    Christopher BrownNCOrthopaedic Surgery Physician$360.8K$0

    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. North Carolina Distribution
    David Peterson — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina