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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Parker (NPI 1902024854)

Field	Value
Entity Type	Individual
Organization	David Parker
Address	100 N Academy Ave
City	Danville
State	PA
ZIP	17822
Taxonomy	Surgery Physician
NPI Enumerated	April 23, 2007

Payer Source	Total Paid
Medicare	$34K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
43281	The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…	20	$1,170	$26.8K
99215	The provider sees an established 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…	40	$100	$3.8K
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…	20	$130	$2.4K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	10	$80	$940

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

David Parker — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43281	3	10	10	$1,060	$17K
99215	3,522	7,170	40	$120	$8.6K
99205	1,853	3,090	20	$150	$4.9K
43235	363	410	20	$120	$3.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph's Medical Center	MN	General Acute Care Hospital	$0	$41.5M
St Joseph's Medical Center	MN	General Practice Physician	$0	$7.3M
Duncan Dickson	MN	Radiation Oncology Physician	$391.3K	$0
Sumi Patel	MN	Rheumatology Physician	$364.5K	$0
Mevan Wijetunga	ND	Clinical Cardiac Electrophysiology Physician	$311K	$0
Deepak Reddy	MI	Emergency Medicine Physician	$75.8K	$169.6K
Kim Ogle	WI	Internal Medicine Physician	$211.8K	$0
Sharath Subramanian	MN	Cardiovascular Disease Physician	$209.9K	$0
Jodi Michaels	MN	Urology Physician	$203.1K	$0
Kari Messner	MN	Diagnostic Radiology Physician	$174.9K	$0

David Parker — Billing Profile & Reimbursement Data

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David Parker — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References