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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Crandall
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    David Crandall — Billing Profile & Reimbursement Data

    NPI 1932551660 · Monterey, CA · Orthopaedic Surgery Physician

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    David Crandall is a orthopaedic surgery physician provider located in Monterey, California. This profile covers 34 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 Crandall
    Address12 Upper Ragsdale Dr
    CityMonterey
    StateCA
    ZIP93940
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 6, 2016

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

    Payer SourceTotal Paid
    Medicare$230K
    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…700$70$50.1K
    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…370$100$38K
    99203The provider sees a new 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 provider…260$80$21K
    99204The 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…140$130$17.4K
    25020The provider incises the forearm and or wrist down to the level of fascial tissue to relieve a build up of pressure in a membrane covered compartment that could damage muscles and nerves.20$670$15.4K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…10$1,020$11.2K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$820$9.9K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.270$30$9K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.30$240$6.7K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.160$40$6K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    25609526020$2,220$40K
    992147,61437,970120$90$23.2K
    975305,1525,200380$30$19.2K
    2502071030$590$18.8K
    29848489030$520$18.6K
    971106,4926,720490$20$17.1K
    2724516419020$890$16K
    992131,97634,66080$70$13.2K
    9922310,57613,19050$140$11.3K
    971405,9385,950340$20$10.5K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James JoyeCAInterventional Cardiology Physician$4.5M$0
    David GreeneCARadiation Oncology Physician$2.3M$119.1K
    Katrina FischerCAHematology & Oncology Physician$2.1M$0
    Nancy RubinCAHematology & Oncology Physician$2M$0
    Thaila RamanujamCASpecialist$1.9M$0
    Kevin ChenCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Reza IranmaneshCAOphthalmology Physician$1.7M$0
    Ajanta DeCAInterventional Cardiology Physician$1.5M$0
    Steven KurtzmanTXRadiation Oncology Physician$1.5M$0
    Salar DeldarCAPain Medicine (Physical Medicine & Rehabilitation) Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Hospital Of The Monterey PeninsulaCAGeneral Acute Care Hospital$0$88.5M
    Monterey Bay Endoscopy Center LLCCAAmbulatory Surgical Clinic/Center$2.3M$4.9M
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$2.3M$0
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$2M$11.3K
    Braden BurckhardCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Lulu ZhangCAHematology & Oncology Physician$1.2M$0
    Nancy TrayCAInternal Medicine Physician$1.1M$0
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$721.9K$409K
    Michael KoontzCAInternal Medicine Physician$1.1M$0
    Howard OribaCADermatology Physician$834.9K$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.

    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. California Distribution
    David Crandall — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California