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.

James Bourne Dds PC (NPI 1073998480)

Field	Value
Entity Type	Organization
Organization	James Bourne Dds PC
Address	3732 Ben Walters Ln
City	Homer
State	AK
ZIP	99603
Taxonomy	Dentist
NPI Enumerated	July 27, 2015

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	2,890	$160	$451.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,950	$80	$154.1K
D0274	N/A	2,630	$50	$137K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,250	$100	$126.5K
D0150	Comprehensive oral evaluation – new or established patient	1,520	$60	$86.8K
D0120	Periodic oral evaluation - established patient	1,800	$40	$77.5K
D1208	Topical application of fluoride - excluding varnish	2,770	$30	$72K
D2391	Resin‑based composite – one surface, posterior	500	$130	$62.6K
D1120	Prophylaxis–child	820	$60	$49.1K
D0140	Limited oral evaluation – problem focused	800	$60	$45K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

James Bourne Dds PC — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	39	150	290	$220	$215.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	97	160	510	$100	$212.9K
D1351	Sealant - per tooth	38	70	1,370	$50	$191.4K
D0220	Intraoral - periapical first radiographic image	87	160	300	$130	$181K
D0120	Periodic oral evaluation - established patient	40	190	390	$100	$141.4K
D2392	Post 2 surface resin‑based composite	7	110	220	$150	$126.5K
D2740	N/A	19	30	110	$520	$117.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12	50	440	$110	$116.9K
D1120	Prophylaxis–child	39	140	230	$70	$106.8K
D2393	Resin-based composite, three surfaces, posterior	18	40	100	$180	$104.5K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Peninsula Hospital, Inc	AK	Critical Access Hospital	$0	$30.1M
South Peninsula Behavioral Health Services Inc	AK	Community/Behavioral Health Agency	$0	$21.6M
Seldovia Village Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$10.1M
South Peninsula Behavioral Health Svcs Inc	AK	Respite Care	$0	$4.4M
South Peninsula Hospital, Inc.	AK	Critical Access Hospital	$0	$2.7M
Prodigy Medical, LLC	AK	Oxygen Equipment & Supplies (DME)	$0	$1.5M
Michael Connors	AK	Optometrist	$0	$1.4M
Homer Eyecare LLC	AK	Optometrist	$0	$1.2M
Homer Senior Citizens, Inc.	AK	Assisted Living Facility	$0	$1.2M
Zank Center, LLC	AK	Speech-Language Pathologist	$0	$1M

James Bourne Dds PC — Billing Profile & Reimbursement Data

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James Bourne Dds PC — 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