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

Why is the Medicaid comparison limited to Alaska 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. Alaska (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.

Douglas Prevost (NPI 1952376022)

Key Findings

Field	Value
Entity Type	Individual
Organization	Douglas Prevost
Address	4100 Lake Otis Pkwy Ste 108
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	February 21, 2006

Payer Source	Total Paid
Medicare	$367.6K
Medicaid	$0

Practice is concentrated on major joint arthroplasty and related outpatient care: the top revenue-driving codes are 27130 (total hip arthroplasty), 27447 (total knee arthroplasty), and J7326 (hyaluronan intra‑articular injection), indicating a surgical orthopaedic practice focused on elective hip and knee replacement with peri‑operative and injection services. The presence of shoulder arthroplasty (23472) and revision knee arthroplasty (27486) in the top codes further supports a procedural, operative service line rather than a trauma-only or nonoperative clinic.

Revenue is highly concentrated in a few procedures: 27130, 27447, and J7326 together account for 68.0% of this provider's Medicare revenue, while total Medicare revenue is reported as $367.6K. This concentration means performance and referral patterns for hip and knee replacement will disproportionately affect overall Medicare earnings for this provider.

This provider is effectively single‑payer in public programs: Medicare revenue is $367.6K and there is no Medicaid billing on file. The absence of Medicaid activity means payer mix and network leverage in the Medicaid population are negligible, and any contracting or utilization review should treat this provider as a Medicare-focused outpatient/surgical orthopaedist.

For hip replacement (27130) the provider ranks highly: #324 of 8062 providers nationally (96th percentile) and is described as notably above typical national volume for this code. That ranking identifies the provider as a relatively high-volume national performer for total hip arthroplasty compared with peers, which is consistent with the large single-code revenue contribution ($113.4K).

Knee replacement and intra‑articular injection volumes are solid but not outlier-level: 27447 ranks #1344 of 12089 providers (89th percentile; typical, unremarkable volume) and J7326 ranks #335 of 1610 providers (79th percentile; typical, unremarkable volume). These placements suggest the provider performs knee arthroplasty and uses hyaluronan injections at levels consistent with active arthroplasty practices, but without the extreme volume concentration seen in the hip code.

The practice also carries a portfolio of supporting outpatient services and diagnostics: high claim counts for E/M codes (99213: 225 claims, $86 avg paid/claim; 99204: 117 claims, $158 avg paid/claim) and imaging codes (e.g., 73502 and 73564) indicate routine office visits and radiography associated with preoperative evaluation, postoperative follow-up, and conservative management. These ancillary services generate meaningful, if smaller, parts of Medicare revenue and reflect an integrated clinic workflow around surgical episodes.

Revision and shoulder surgery are present but secondary: 27486 (revision arthroplasty of the knee) appears with 14 claims and $20.7K revenue and ranks #24 of 62 providers nationally (51th percentile; typical, unremarkable volume), while 23472 (total shoulder arthroplasty) also has 14 claims and $20.5K revenue but ranks lower nationally (#2514 of 3439, 21th percentile). This pattern indicates occasional revision and shoulder procedures supplement a primary hip/knee arthroplasty practice rather than dominate it.

Provider tenure is long-standing: NPI enumerated 2006-02-21 (~20 years ago), signaling an established practice. Combined with the coding mix and the strong national standing on 27130, this suggests a mature orthopaedic surgery practice in Anchorage with an operational focus on elective joint replacement and associated outpatient care.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	90	$1,270	$113.4K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	80	$1,290	$108.4K
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	70	$410	$28.1K
27486	In this procedure, the provider performs revision arthroplasty of any one component of the knee joint. He may or may not use an allograft to perform this procedure. Revision arthroplasty is a…	10	$1,480	$20.7K
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	10	$1,470	$20.5K
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…	230	$90	$19.4K
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	$160	$18.5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	140	$70	$9.2K
73502	In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…	140	$40	$5.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	100	$50	$5.1K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Network Of Alaska, LLC	AK	Specialist	$0	$4.3M
Medical Network Of Alaska, LLC	AK	Urgent Care Clinic/Center	$0	$811.6K
Medical Network Of Alaska, LLC	AK	Obstetrics & Gynecology Physician	$0	$543.2K
Bryan Haughom	AK	Orthopaedic Surgery Physician	$525.6K	$0
Blake Galler	AK	Dermatology Physician	$448K	$0
Hugh Hall	AZ	Foot & Ankle Surgery Podiatrist	$364.5K	$21.7K
Anchorage Fracture And Orthopaedic Clinic, PC	AK	Orthopaedic Surgery Physician	$0	$354.6K
Ian Brimhall	AZ	Orthopaedic Surgery Physician	$210.5K	$109K
Medical Network Of Alaska, LLC	AK	Family Medicine Physician	$0	$313.1K
Daniel Davignon	AK	Diagnostic Radiology Physician	$248.8K	$21.1K

Douglas Prevost — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	1	50	30	$1,350	$48.6K
27130	1	40	20	$1,090	$28.4K
23472	14	20	20	$1,020	$21.5K
27486	1	10	10	$1,480	$20.7K
99214	860	1,210	90	$100	$16.2K
J7326	1	10	30	$400	$12.9K
99213	183	1,290	70	$70	$8.5K
27570	2	10	20	$450	$8K
99204	28	460	30	$140	$6.1K
20610	18	110	40	$50	$3.6K