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

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

James Shirley (NPI 1023239613)

Field	Value
Entity Type	Individual
Organization	James Shirley
Address	307 S Washington St
City	Deridder
State	LA
ZIP	70634
Taxonomy	General Practice Dentistry
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	18,620	$40	$651.5K
D2930	N/A	4,450	$130	$583K
D0120	Periodic oral evaluation - established patient	18,130	$30	$525.9K
D2150	Amalgam - two surfaces, primary or permanent	5,210	$90	$463.7K
D1208	Topical application of fluoride - excluding varnish	20,380	$20	$407.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,180	$70	$401.9K
D9230	N/A	9,140	$40	$329K
D0272	N/A	13,020	$20	$286.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,520	$50	$221.3K
D2140	Amalgam - one surface, primary or permanent	2,760	$70	$201.8K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Louisiana Distribution

James Shirley — 5 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	34	140	1,000	$140	$453.6K
D2392	Post 2 surface resin‑based composite	357	400	470	$90	$135.5K
D1120	Prophylaxis–child	29	610	750	$30	$125.3K
D0120	Periodic oral evaluation - established patient	33	730	990	$30	$104.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	99	720	670	$40	$93.4K
D1351	Sealant - per tooth	34	230	560	$30	$89.2K
D2140	Amalgam - one surface, primary or permanent	11	90	270	$70	$89.2K
D2150	Amalgam - two surfaces, primary or permanent	4	110	430	$90	$87K
D9230	N/A	16	290	570	$40	$80.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	26	340	420	$40	$75.5K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life At Home LLC	LA	In Home Supportive Care Agency	$0	$13.1M
Hospital Service District No 2 Of Parish Of Beauregard State Of La	LA	Rural Acute Care Hospital	$0	$10.5M
Hospital Service District No 2 Of Parish Of Beauregard State Of La	LA	Rural Health Clinic/Center	$0	$5.1M
Hospital Service District No 2 Of Parish Of Beauregard State Of La	LA	Rural Health Clinic/Center	$0	$4.9M
Christopher Granger	LA	Family Medicine Physician	$335.7K	$170
Randall Duplechain	LA	Family Medicine Physician	$243.4K	$0
Chuen Kwok	LA	Urology Physician	$183.3K	$41.4K
Walgreen Co	LA	Pharmacy	$71.8K	$0
Edwin Bonilla	LA	Family Medicine Physician	$44.4K	$0
Wal-mart Stores East LP	LA	Community/Retail Pharmacy	$36.5K	$0

James Shirley — Billing Profile & Reimbursement Data

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James Shirley — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References