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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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 Folden (NPI 1912151929)

Field	Value
Entity Type	Individual
Organization	David Folden
Address	3777 Coon Rapids Blvd Nw
City	Coon Rapids
State	MN
ZIP	55433
Taxonomy	Ophthalmology Physician
NPI Enumerated	November 5, 2008

Payer Source	Total Paid
Medicare	$175K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	330	$370	$121.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	60	$330	$20.9K
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…	120	$110	$12.6K
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…	120	$80	$9.7K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	330	$30	$9.2K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	30	$30	$890

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

David Folden — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	133	300	190	$50	$56K
66821	55	170	50	$110	$13.8K
99214	2,872	10,100	70	$80	$8.1K
92134	352	580	40	$30	$4.8K
99204	61	3,340	20	$110	$3.6K
92136	12	160	100	$20	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Peterson	MN	Ophthalmology Physician	$728.2K	$0
Scott Schaefer	MN	Ophthalmology Physician	$200.6K	$0
Jeffrey Stephens	MN	Ophthalmology Physician	$147.9K	$0
George Wandling	MN	Ophthalmology Physician	$140.9K	$0
Carter Nichols	MN	Ophthalmology Physician	$138.4K	$0
Paul Hammond	MN	Optometrist	$127.3K	$0
John O'neill	MN	Ophthalmology Physician	$121.8K	$0
Mark Lobanoff	MN	Ophthalmology Physician	$71.3K	$0
Phillip Radke	MN	Ophthalmic Plastic and Reconstructive Surgery Physician	$50.7K	$0
Christina Kuzas	MN	Optometrist	$35.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	General Acute Care Hospital	$0	$48.8M
Allina Health System	MN	Family Medicine Physician	$0	$22.2M
Nura PLLC	MN	Pain Medicine Physician	$0	$13.8M
Select Senior Living Of Coon Rapids, LLC	MN	Assisted Living Facility	$0	$13.6M
Empathy Home Care Inc	MN	Home Health Agency	$0	$7M
Family & Cosmetic Gentle Dentistry, Ltd	MN	General Practice Dentistry	$0	$6.4M
Nura PLLC	MN	Home Infusion Agency	$0	$6.2M
Kingdom Pathways	MN	Community/Behavioral Health Agency	$0	$5.2M
Uzma Ali	MN	Hematology & Oncology Physician	$868.9K	$0
Nisha Jacobs	MN	Hematology & Oncology Physician	$674.5K	$0

David Folden — Billing Profile & Reimbursement Data

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David Folden — 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

Nearby Providers

Frequently Asked Questions

References