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

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

Thomas Evans (NPI 1083721211)

Field	Value
Entity Type	Individual
Organization	Thomas Evans
Address	740 Pennsylvania Ave
City	Ottumwa
State	IA
ZIP	52501
Taxonomy	Pediatric Dentistry
NPI Enumerated	August 24, 2006

Payer Source	Total Paid
Medicaid	$951.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	6,270	$30	$162.9K
D0120	Periodic oral evaluation - established patient	7,070	$20	$127.2K
D2392	Post 2 surface resin‑based composite	1,640	$70	$116.7K
D1351	Sealant - per tooth	4,390	$20	$87.7K
D1208	Topical application of fluoride - excluding varnish	5,750	$20	$86.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,960	$40	$70.5K
D0330	N/A	1,420	$40	$59.7K
D0272	N/A	3,370	$20	$57.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,590	$20	$38.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	590	$50	$32K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Thomas Evans — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	54	80	850	$110	$217.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	68	170	330	$50	$88.3K
D1351	Sealant - per tooth	32	190	750	$20	$60.2K
D2392	Post 2 surface resin‑based composite	36	210	230	$60	$58.6K
D3220	N/A	19	40	190	$80	$55.5K
D1120	Prophylaxis–child	37	580	310	$20	$43.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	96	630	370	$30	$36.8K
D2391	Resin‑based composite – one surface, posterior	55	190	210	$40	$34.7K
D0120	Periodic oral evaluation - established patient	52	830	530	$20	$34.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	126	630	500	$10	$33.3K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
River Hills Community Health Center Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$77.5M
American Baptist Homes Of The Midwest	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$22.7M
Southern Iowa Mental Health Center	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$650	$17.5M
Tenco, Industries, Inc.	IA	Community/Behavioral Health Agency	$0	$13.5M
Rchp Ottumwa LLC	IA	General Acute Care Hospital	$0	$9.6M
Ottumwa Community School District	IA	Local Education Agency (LEA)	$0	$8.5M
Pella Regional Health Center	IA	Rural Health Clinic/Center	$0	$5.3M
Milestones Area Agency On Aging	IA	Home Delivered Meals	$0	$3.2M
Southern Iowa Economic Development Assoc	IA	Addiction (Substance Use Disorder) Counselor	$0	$2.6M
Mercy Medical Center-centerville	IA	Multi-Specialty Clinic/Center	$0	$2.6M

Thomas Evans — Billing Profile & Reimbursement Data

Sign up for Thomas Evans — Billing Profile & Reimbursement Data policy alerts

Thomas Evans — Billing Profile & Reimbursement Data

Sign up for Thomas Evans — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References