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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Ramesh Kianfar (NPI 1093826505)

Field	Value
Entity Type	Individual
Organization	Ramesh Kianfar
Address	260a Great Cruz Bay
City	St John
State	VI
ZIP	00830
Taxonomy	Dentist
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$20.7K
Medicare	$0

Key Findings

This provider appears to operate as a general dentistry practice focused on routine preventive and diagnostic services: the top Medicaid revenue codes include D1110 (adult prophylaxis/cleaning), D0150 (comprehensive oral evaluation), and D0330, with the top 3 Medicaid codes accounting for 69.5% of the provider's total Medicaid revenue. The prominence of D1110 and D0150 indicates a workflow centered on exams and cleanings rather than extensive restorative or specialty procedures, consistent with a general dentist seeing established and new patients.

Revenue concentration in Medicaid is pronounced: 69.5% of the provider's $20.7K Medicaid revenue is accounted for by the top three codes, signaling reliance on a small set of routine services for most revenue. That concentration suggests financial sensitivity to utilization or reimbursement changes for those specific codes.

Payer mix is effectively single-payer at present: there is no Medicare billing on file while Medicaid revenue totals $20.7K, so this provider’s publicly recorded billing activity is entirely within Medicaid. For analysts, this means benchmarking and network-value assessments should focus on Medicaid comparators rather than Medicare.

Competitive standing within the state is modest to low for the highest-volume codes: for D1110 the provider ranks #6 of 8 in-state (29th percentile) and for D0150 ranks #7 of 11 (40th percentile), both characterized as typical, unremarkable volume. These placements indicate the provider is not a dominant statewide player for routine cleaning or comprehensive evaluation relative to peers.

There are a few codes where the provider occupies higher relative rank despite small absolute revenue: D2332 is ranked #1 of 3 providers in-state (100th percentile) for a code generating $1.2K (5.7% of Medicaid revenue), which signals local specialization or niche usage of that specific procedure even though it is not a major revenue driver overall. Conversely, several codes (e.g., D0330 at rank #8 of 8 and D0603 at rank #2 of 2) show the provider at low percentiles, reinforcing a generally modest market footprint.

Payment levels per claim on the top codes are low, consistent with Medicaid reimbursement for routine dental care: D1110 averages $17 paid/claim and D0150 averages $9 paid/claim, while many radiographic and testing codes report single-digit average payments. This payor-driven rate environment constrains per-encounter revenue and implies the practice depends on volume of routine visits to generate its current Medicaid revenue.

The provider has long-tenured NPI enrollment: the NPI was enumerated on 2006-08-31 (~20 years ago), indicating two decades in the registry. That tenure supports interpretation of current billing as part of an established practice rather than a newly entered provider.

Service mix shows limited restorative activity relative to preventive care: restorative code D2393 (resin-based composite, three surfaces, posterior) contributes $1.7K (8.1% of Medicaid revenue) but is noticeably smaller than prophylaxis and evaluation revenue, suggesting restorative procedures are performed but are a secondary component of the practice’s Medicaid-facing case mix.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	480	$20	$8.2K
D0150	Comprehensive oral evaluation – new or established patient	480	$10	$4.3K
D0330	N/A	220	$10	$1.9K
D2393	Resin-based composite, three surfaces, posterior	30	$50	$1.7K
D0120	Periodic oral evaluation - established patient	110	$10	$1.4K
D2332	N/A	70	$20	$1.2K
D0274	N/A	140	$10	$970
D0220	Intraoral - periapical first radiographic image	280	$1	$850
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	40	$10	$300
D0603	Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day	90	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

Ramesh Kianfar — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6	10	1,090	$80	$167.9K
D0330	N/A	8	10	1,190	$100	$161.7K
D0150	Comprehensive oral evaluation – new or established patient	7	10	610	$90	$153.7K
D2393	Resin-based composite, three surfaces, posterior	5	10	50	$260	$69.2K
D0274	N/A	8	10	830	$50	$69.1K
D0120	Periodic oral evaluation - established patient	8	10	630	$60	$69K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6	10	1,380	$30	$58.5K
D0220	Intraoral - periapical first radiographic image	7	10	1,010	$20	$33.5K
D2332	N/A	1	10	40	$60	$2.6K
D0603	Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day	2	10	1,390	$1	$20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Walker	VI	Internal Medicine Physician	$42K	$17.7K
Christopher Reinbold	VI	Physical Therapist	$24.1K	$0
Francine Jacobson	VI	Community Health Clinic/Center	$1.8K	$0
Veronica O'brien	VI	Advanced Practice Midwife	$940	$0

Ramesh Kianfar — Billing Profile & Reimbursement Data

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Ramesh Kianfar — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References