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

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

Th Tuscumbia PLLC (NPI 1144951328)

Field	Value
Entity Type	Organization
Organization	Th Tuscumbia PLLC
Address	115 E 5th St
City	Tuscumbia
State	AL
ZIP	35674
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 20, 2022

Payer Source	Total Paid
Medicaid	$1.3M
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
D1120	Prophylaxis–child	7,480	$30	$209.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,440	$30	$160.9K
D0120	Periodic oral evaluation - established patient	7,940	$20	$150.8K
D2930	N/A	1,020	$110	$107.8K
D0230	Intraoral - periapical each additional radiographic image	11,810	$10	$94.5K
D2392	Post 2 surface resin‑based composite	1,070	$80	$83.3K
D2391	Resin‑based composite – one surface, posterior	990	$70	$65.2K
D9230	N/A	2,810	$20	$64.7K
D0330	N/A	1,390	$40	$59.6K
D0220	Intraoral - periapical first radiographic image	5,430	$10	$54.3K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Th Tuscumbia PLLC — 1 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	63	120	1,240	$90	$233.9K
D1354	N/A	56	90	1,190	$20	$210.5K
D2392	Post 2 surface resin‑based composite	103	280	520	$70	$144.9K
D1120	Prophylaxis–child	85	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	87	250	380	$60	$91.8K
D1999	N/A	113	300	1,280	$20	$81.5K
D0120	Periodic oral evaluation - established patient	96	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	94	190	490	$50	$76.2K
D1351	Sealant - per tooth	59	180	710	$20	$63.3K
D0330	N/A	113	390	410	$40	$61.2K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Th Tuscumbia PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Valley Pediatric Associatesinc.	AL	Pediatrics Physician	$0	$20.8M
James T. Gardiner Family Dentistry, P.C.	AL	Dentist	$0	$4.4M
Air Evac Ems Inc	AL	Air Ambulance	$423.2K	$0
Javar Myatt-jones	AL	Family Medicine Physician	$206.1K	$0
Carlos Liotta	AL	Sports Medicine (Family Medicine) Physician	$155.1K	$0
Anna James	AL	Family Nurse Practitioner	$100.2K	$0
Dorene Morris	AL	Family Medicine Physician	$78.6K	$0

Th Tuscumbia PLLC — Billing Profile & Reimbursement Data

Sign up for Th Tuscumbia PLLC — Billing Profile & Reimbursement Data policy alerts

Th Tuscumbia PLLC — Billing Profile & Reimbursement Data

Sign up for Th Tuscumbia PLLC — 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