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

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

Waggoner-galea PC (NPI 1104055037)

Field	Value
Entity Type	Organization
Organization	Waggoner-galea PC
Address	6365 Simmons St
City	N Las Vegas
State	NV
ZIP	89031
Taxonomy	Dental Clinic/Center
NPI Enumerated	July 13, 2009

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.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	8,370	$40	$351.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,240	$30	$314.3K
D0120	Periodic oral evaluation - established patient	8,320	$20	$183K
D0272	N/A	6,100	$20	$103.7K
D2392	Post 2 surface resin‑based composite	1,470	$50	$67.5K
D9248	N/A	780	$80	$65K
D1351	Sealant - per tooth	2,680	$20	$51K
D0330	N/A	1,010	$30	$34.4K
D9230	N/A	3,010	$10	$27.1K
D0150	Comprehensive oral evaluation – new or established patient	840	$30	$26K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Waggoner-galea PC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	80	100	560	$70	$110.6K
D1120	Prophylaxis–child	33	490	460	$40	$96.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30	450	470	$40	$92K
D1351	Sealant - per tooth	67	320	700	$20	$63.9K
D9248	N/A	15	60	210	$80	$45.1K
D2392	Post 2 surface resin‑based composite	35	240	210	$50	$43.7K
D0120	Periodic oral evaluation - established patient	21	460	330	$20	$40.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	55	210	210	$40	$35.1K
D0150	Comprehensive oral evaluation – new or established patient	122	470	300	$30	$31.8K
D0272	N/A	22	250	330	$20	$29.6K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Waggoner-galea PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frontier Medical & Behavioral Center Inc	NV	Psychiatry Physician	$0	$4.8M
Affiliated Physical Therapy	NV	Physical Therapist	$0	$3.9M
Productive Homecare Service LLC	NV	In Home Supportive Care Agency	$0	$3.5M
Robert Kutner	NV	Clinical Psychologist	$0	$3.5M
Silver State Community & Health Services LLC	NV	Behavior Analyst	$0	$2M
Jeffrey Hill	NV	Physical Therapist	$106.5K	$0
George Tan	NV	Gastroenterology Physician	$105.5K	$0
Justin Kent	NV	Physician Assistant	$33.9K	$0
Matthew Figgins	NV	Occupational Therapist	$17.4K	$0

Waggoner-galea PC — Billing Profile & Reimbursement Data

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Waggoner-galea 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