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

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

Tyler Graham (NPI 1053934182)

Field	Value
Entity Type	Individual
Organization	Tyler Graham
Address	325 W Main St Ste G
City	Riverton
State	WY
ZIP	82501
Taxonomy	General Practice Dentistry
NPI Enumerated	May 23, 2020

Payer Source	Total Paid
Medicaid	$22.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0150	Comprehensive oral evaluation – new or established patient	230	$40	$7.9K
D0274	N/A	140	$40	$5.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	60	$60	$3.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	80	$40	$2.7K
D1120	Prophylaxis–child	60	$40	$2.1K
D0460	N/A	30	$30	$870
D1330	N/A	30	$10	$260
D0220	Intraoral - periapical first radiographic image	10	$20	$220

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Tyler Graham — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	60	100	130	$30	$46.4K
D1120	Prophylaxis–child	63	100	110	$30	$39.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	55	90	100	$50	$27.4K
D0220	Intraoral - periapical first radiographic image	42	50	200	$20	$19.5K
D0150	Comprehensive oral evaluation – new or established patient	16	60	70	$30	$15K
D0274	N/A	31	60	140	$30	$14.3K
D1330	N/A	21	30	140	$1	$2.1K
D0460	N/A	1	10	30	$30	$850

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Entry Services	WY	Developmentally Disabled Services Day Training Agency	$0	$50.2M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$4.3M
Frontier Ambulance LLC	WY	Ambulance	$737.8K	$785.4K
Guardian Flight LLC	WY	Air Ambulance	$934.9K	$0
Reach Foundation	WY	Case Management Agency	$0	$927.5K
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$788K
Debra Stone	WY	Developmentally Disabled Services Day Training Agency	$0	$709.2K
Kinisha Pullen-shelsta	WY	Case Manager/Care Coordinator	$0	$661.2K
Riverton Vision Center P.C.	WY	Optometrist	$0	$606.2K
Wyoming Counseling Services PC	WY	Professional Counselor	$0	$595.8K

Tyler Graham — Billing Profile & Reimbursement Data

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Tyler Graham — 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