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

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

Brad Ford (NPI 1043234578)

Field	Value
Entity Type	Individual
Organization	Brad Ford
Address	301 E 16th Ave
City	Cordele
State	GA
ZIP	31015
Taxonomy	General Practice Dentistry
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicaid	$423.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	2,560	$30	$87.1K
D0150	Comprehensive oral evaluation – new or established patient	1,830	$30	$55K
D2150	Amalgam - two surfaces, primary or permanent	620	$80	$49.4K
D2140	Amalgam - one surface, primary or permanent	750	$60	$47.1K
D1208	Topical application of fluoride - excluding varnish	2,400	$20	$45.7K
D0330	N/A	740	$60	$44.6K
D0120	Periodic oral evaluation - established patient	1,500	$20	$36K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	570	$40	$19.8K
D0274	N/A	470	$40	$17K
D0272	N/A	330	$20	$7.5K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Brad Ford — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	60	70	580	$30	$176.7K
D1120	Prophylaxis–child	30	140	620	$30	$173.7K
D0120	Periodic oral evaluation - established patient	44	150	640	$20	$117.8K
D1208	Topical application of fluoride - excluding varnish	24	90	560	$20	$110.3K
D0274	N/A	45	110	340	$30	$96.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	62	70	240	$70	$85.9K
D0272	N/A	62	110	410	$20	$83.8K
D0150	Comprehensive oral evaluation – new or established patient	18	130	210	$30	$75.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	44	120	190	$30	$71K
D0330	N/A	23	90	210	$40	$66.9K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Kavtaradze	GA	Internal Medicine Physician	$500K	$0
Anne Lombardi	GA	Pediatrics Physician	$0	$149.5K
Bobbi Phillips	GA	Family Nurse Practitioner	$130.9K	$0
Jeremy Hill	GA	Diagnostic Radiology Physician	$120.3K	$0
Stacey Hathcock	GA	Physical Therapist	$83.4K	$0
Mark Bryant	GA	Occupational Vision Optometrist	$73.3K	$0
Douglas Downey	GA	Surgery Physician	$37.4K	$0
Brandi Newman	GA	Nurse Practitioner	$11K	$0

Brad Ford — Billing Profile & Reimbursement Data

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Brad Ford — 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