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

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

Boyd Simkins (NPI 1164479267)

Field	Value
Entity Type	Individual
Organization	Boyd Simkins
Address	2667 N Washington Blvd
City	North Ogden
State	UT
ZIP	84414
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	10,490	$80	$828.4K
D1351	Sealant - per tooth	9,670	$40	$347.9K
D2930	N/A	2,070	$70	$149K
D1120	Prophylaxis–child	10,230	$10	$143.2K
D0272	N/A	6,350	$20	$139.6K
D2392	Post 2 surface resin‑based composite	1,430	$80	$117.3K
D0220	Intraoral - periapical first radiographic image	2,390	$40	$102.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,870	$40	$80.4K
D2391	Resin‑based composite – one surface, posterior	1,080	$70	$77.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,520	$10	$69.1K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Boyd Simkins — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	11	470	460	$80	$149.8K
D1351	Sealant - per tooth	8	190	620	$30	$60.7K
D2930	N/A	7	70	280	$70	$57.7K
D0140	Limited oral evaluation – problem focused	50	260	140	$120	$55.8K
D2150	Amalgam - two surfaces, primary or permanent	35	220	290	$60	$45K
D2392	Post 2 surface resin‑based composite	14	170	170	$80	$39.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	10	150	170	$60	$35.9K
D0220	Intraoral - periapical first radiographic image	77	440	470	$20	$32.8K
D0150	Comprehensive oral evaluation – new or established patient	32	420	110	$100	$30.8K
D1120	Prophylaxis–child	13	420	440	$20	$30.7K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Boyd Simkins, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	Children's Hospital	$0	$129.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$54.1M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$25.3M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services Inc	UT	Emergency Medicine Physician	$0	$1.5M
North View Fire Agency	UT	Land Ambulance	$114.8K	$942.1K
Ihc Health Services, Inc	UT	Family Medicine Physician	$0	$372.4K
Chad Jensen	UT	Family Medicine Physician	$103.8K	$14.1K
Benjamin Barraclough	UT	Family Medicine Physician	$22.6K	$0
Kolleen Marchand	UT	Physician Assistant	$20.5K	$0

Boyd Simkins — Billing Profile & Reimbursement Data

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Boyd Simkins — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References