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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Carli (NPI 1932762374)

Field	Value
Entity Type	Individual
Organization	David Carli
Address	800 N 1st St
City	Wausau
State	WI
ZIP	54403
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 22, 2019

Payer Source	Total Paid
Medicare	$12.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	40	$160	$5.7K
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…	40	$90	$3.9K
99213	The 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…	30	$70	$1.8K
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…	10	$110	$1.2K
92286	In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then…	10	$30	$380

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

David Carli — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
65756	1	10	20	$1,030	$21.7K
99214	6,839	9,800	80	$70	$9.2K
99213	7,093	9,380	60	$50	$4.7K
99204	3,225	3,390	30	$100	$3.7K
92286	5	10	30	$20	$690

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0
Ec Laser And Surgery Institute Of Wi, LLC	WI	Ambulatory Surgical Clinic/Center	$1.3M	$281.3K
Eye Clinic Of Wisconsin Sc	WI	Ophthalmology Physician	$0	$1.6M
Mathew Aschbrenner	WI	Ophthalmology Physician	$919.8K	$0
Maxwell Wingelaar	WI	Ophthalmology Physician	$446.8K	$0
Francis Price	IN	Ophthalmology Physician	$294.4K	$0
Matthew Feng	IN	Ophthalmology Physician	$282.9K	$0
L Galang	WI	Ophthalmology Physician	$279.8K	$0
Rania Saleh	IL	Infectious Disease Physician	$130.7K	$139K
John Flatter	WI	Ophthalmology Physician	$266.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$74.1M
Primary Connection Health Care, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$11.5M
Human Services Board Serving North Central Health Care Facility	WI	Multi-Specialty Clinic/Center	$0	$9.4M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$110.8K	$8.7M
Marathon County	WI	Public Health or Welfare Agency	$0	$6M
Arbor Mental Health Center	WI	Clinical Psychologist	$0	$5.2M
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$3.2M
Wausau School District	WI	Local Education Agency (LEA)	$0	$2.8M
City Of Wausau	WI	Land Ambulance	$397K	$1.8M
Milwaukee Health Services System, LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M

David Carli — Billing Profile & Reimbursement Data

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David Carli — 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