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.

Ashley Patnoe (NPI 1164427795)

Field	Value
Entity Type	Individual
Organization	Ashley Patnoe
Address	1573 Washington St E
City	Charleston
State	WV
ZIP	25311
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 20, 2005
NPI Deactivated	March 20, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	10,660	$40	$394.6K
D1354	N/A	7,710	$50	$385.5K
D1208	Topical application of fluoride - excluding varnish	12,350	$20	$246.9K
D0120	Periodic oral evaluation - established patient	10,270	$20	$246.4K
D2392	Post 2 surface resin‑based composite	1,920	$100	$182.6K
D1351	Sealant - per tooth	3,850	$30	$115.5K
D9230	N/A	2,160	$40	$90.8K
D0272	N/A	3,650	$20	$84K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,570	$50	$78.4K
D0220	Intraoral - periapical first radiographic image	4,490	$20	$67.4K

Showing 1–10 of 28

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

Ashley Patnoe — 5 of 25 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	16	20	410	$110	$238.5K
D2392	Post 2 surface resin‑based composite	20	130	170	$100	$93.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	43	110	330	$60	$90.5K
D1351	Sealant - per tooth	22	100	490	$30	$89.6K
D2391	Resin‑based composite – one surface, posterior	40	120	220	$80	$70.7K
D1354	N/A	1	30	260	$50	$62.3K
D9230	N/A	16	80	280	$40	$52.6K
D1120	Prophylaxis–child	7	270	290	$30	$49.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	44	260	300	$50	$38.5K
D0330	N/A	67	230	210	$50	$37.7K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Treatment Center, LLC	WV	Methadone Clinic	$234.5K	$16.8M
Associated Radiologists, Inc.	WV	Diagnostic Radiology Physician	$0	$8M
Charleston Treatment Center, LLC.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.1M
West Virginia Health Right, Inc.	WV	Health Service Clinic/Center	$0	$2.7M
Charleston Treatment Center, LLC	WV	Methadone Clinic	$0	$2.6M
Carrie Frame	WV	Foot & Ankle Surgery Podiatrist	$1.7M	$0
Daymark Inc.	WV	Mental Illness Community Based Residential Treatment Facility	$0	$1.5M
Capital City Pediatrics PLLC	WV	Pediatrics Physician	$0	$762.4K
Greenbrier Vision Center Inc	WV	Optometrist	$0	$761.1K
Alison Poole	WV	Physician Assistant	$584.9K	$0

Ashley Patnoe — Billing Profile & Reimbursement Data

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Ashley Patnoe — 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