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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Arnold (NPI 1982675161)

Field	Value
Entity Type	Individual
Organization	David Arnold
Address	3808 Swiss Ave
City	Dallas
State	TX
ZIP	75204
Taxonomy	Surgery Physician
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicare	$31K
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
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	30	$380	$11.9K
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…	90	$120	$10.7K
49324	The provider examines the inside of the abdomen through a laparoscope, a tubular instrument with a light source and a camera. He places a catheter, a flexible tube, into the membrane lined portion of…	10	$280	$3.4K
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	$2K
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,…	40	$40	$1.8K
99203	The 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…	20	$80	$1.2K

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. Texas Distribution

David Arnold — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
49650	11	140	20	$500	$9K
99213	22,167	29,790	70	$60	$8.4K
99204	2,394	16,380	30	$110	$5.6K
49324	7	10	10	$280	$4.5K
99203	8,651	10,820	30	$70	$3.4K
99212	2,052	5,510	30	$40	$2.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gregory Kozielec	TX	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Maurice Syrquin	TX	Retina Specialist (Ophthalmology) Physician	$3.2M	$0
Marcus Allen	TX	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Scott Witherspoon	TX	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Dallas Nephrology Associates	TX	Ambulatory Surgical Clinic/Center	$2.3M	$62.4K
Michael Carley	TX	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$521.8K	$0
Diagnostic Laboratory Solutions	TX	Clinical Medical Laboratory	$424.5K	$12.3K
Muriel Boreham	TX	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$310.7K	$0
David Nesser	TX	Nephrology Physician	$191.5K	$0
Jeffrey Siegel	TX	Diagnostic Radiology Physician	$110K	$0

David Arnold — Billing Profile & Reimbursement Data

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David Arnold — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References