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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Ronnie Sparks (NPI 1114156320)

Field	Value
Entity Type	Individual
Organization	Ronnie Sparks
Address	208 Leon Sullivan Way
City	Charleston
State	WV
ZIP	25301
Taxonomy	Dentist
NPI Enumerated	July 9, 2009

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8090	N/A	920	$2,630	$2.4M
D8680	N/A	4,120	$230	$956.3K
D8080	N/A	300	$2,620	$792.3K
D0340	N/A	4,610	$60	$262.8K
D0330	N/A	4,930	$30	$152.9K
D0470	N/A	3,770	$40	$135.6K
D8220	N/A	320	$380	$120.7K
D9310	N/A	1,940	$50	$99K
D0350	N/A	4,630	$20	$97.3K
D0140	Limited oral evaluation – problem focused	2,310	$40	$83.1K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Ronnie Sparks — 1 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8090	N/A	3	10	170	$2,550	$1.3M
D8080	N/A	3	10	300	$2,330	$947.7K
D8680	N/A	4	20	520	$250	$432.5K
D8220	N/A	3	10	410	$350	$156.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	95	110	330	$60	$90.5K
D0340	N/A	3	30	250	$60	$67.7K
D0470	N/A	3	20	690	$40	$49.1K
D0250	N/A	3	10	2,260	$20	$47.1K
D0330	N/A	6	230	210	$50	$37.7K
D0140	Limited oral evaluation – problem focused	29	220	270	$30	$34.5K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Area Medical Center Inc	WV	General Acute Care Hospital	$0	$200.1M
Wv Birth To Three	WV	Early Intervention Provider Agency	$0	$59.9M
Charleston Area Medical Center, Inc.	WV	General Acute Care Hospital	$0	$50.9M
Children's Home Society Of West Virginia	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$44.1M
Kanawha County Emergency Ambulance Authority	WV	Land Ambulance	$2.3M	$31.9M
Maxim Healthcare Services, Inc.	WV	Home Health Agency	$0	$19.9M
All-aid Services, Inc.	WV	Home Health Agency	$0	$16.3M
The Arc Of The Three Rivers, Inc.	WV	Case Management Agency	$0	$15.6M
Retina Consultants, PLLC	WV	Retina Specialist (Ophthalmology) Physician	$0	$13.6M
Dolan & Kalaskey Ltd	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$8.3M

Ronnie Sparks — Billing Profile & Reimbursement Data

Sign up for Ronnie Sparks — Billing Profile & Reimbursement Data policy alerts

Ronnie Sparks — Billing Profile & Reimbursement Data

Sign up for Ronnie Sparks — 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