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.

Joseph Atkins (NPI 1124449277)

Field	Value
Entity Type	Individual
Organization	Joseph Atkins
Address	221 State St
City	Madison
State	WV
ZIP	25130
Taxonomy	Dentist
NPI Enumerated	December 16, 2013

Payer Source	Total Paid
Medicaid	$772.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0140	Limited oral evaluation – problem focused	3,080	$30	$104.9K
D9230	N/A	2,030	$40	$83.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,800	$50	$82.9K
D0330	N/A	1,160	$50	$61.6K
D0120	Periodic oral evaluation - established patient	2,730	$20	$60.1K
D1208	Topical application of fluoride - excluding varnish	3,110	$20	$59K
D9630	N/A	2,930	$20	$58.5K
D1120	Prophylaxis–child	1,680	$30	$55.6K
D0274	N/A	1,690	$30	$52.4K
D0272	N/A	1,740	$20	$36.4K

Showing 1–10 of 19

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

Joseph Atkins — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	70	130	170	$100	$93.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	69	110	330	$60	$90.5K
D1351	Sealant - per tooth	35	100	490	$30	$89.6K
D2391	Resin‑based composite – one surface, posterior	45	120	220	$80	$70.7K
D9230	N/A	17	80	280	$40	$52.6K
D1120	Prophylaxis–child	63	270	290	$30	$49.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	35	260	300	$50	$38.5K
D0330	N/A	48	230	210	$50	$37.7K
D0120	Periodic oral evaluation - established patient	52	310	430	$20	$35.8K
D0140	Limited oral evaluation – problem focused	18	220	270	$30	$34.5K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boone Memorial Hospital, Inc	WV	Critical Access Hospital	$0	$31.9M
Boone Memorial Hospital, Inc	WV	Rural Health Clinic/Center	$0	$11M
Womencare, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$5.9M
Boone Memorial Hospital, Inc	WV	Rural Health Clinic/Center	$0	$4.1M
Boone Memorial Hospital, Inc	WV	Multi-Specialty Clinic/Center	$0	$1.6M
Boone Memorial Hospital, Inc	WV	Psychiatry Physician	$0	$873.5K
Maria Gracely Meloy	WV	Physical Therapist	$107K	$0
Daniel Wright	WV	Foot & Ankle Surgery Podiatrist	$57.9K	$0
Howard Lafferty	WV	Family Medicine Physician	$57.2K	$0
Ronny Stollings	WV	Internal Medicine Physician	$6.5K	$0

Joseph Atkins — Billing Profile & Reimbursement Data

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Joseph Atkins — 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