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

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

Arthur Moore (NPI 1164564951)

Field	Value
Entity Type	Individual
Organization	Arthur Moore
Address	2024 Edgewood Dr S
City	Lakeland
State	FL
ZIP	33803
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicare	$43K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
21085	The provider fabricates an oral surgical splint to match the patient’s facial contours by taking an impression, or negative imprint, of the patient's face. An oral surgical splint supports a…	60	$520	$28.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	80	$150	$11.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$80	$3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Arthur Moore — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
21085	2	10	30	$450	$16.9K
99215	4,652	8,550	40	$130	$10.7K
99205	626	4,820	30	$160	$6.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philadelphia Professionals Inc	FL	Home Health Agency	$0	$21M
Children And Teen Dental Group Of Florida	FL	General Practice Dentistry	$0	$11.5M
Capernaum Medical Center For Kids PLLC	FL	Clinical Neurophysiology Physician	$0	$7.3M
Linwood Bond	FL	Dermatology Physician	$760.9K	$0
Cory Lord	FL	Nurse Practitioner	$241K	$0
Jarett Gregory	FL	Internal Medicine Physician	$219.7K	$0
Rakesh Patel	FL	Urology Physician	$176.1K	$0
Allan Wells	FL	Family Medicine Physician	$133.8K	$0
Zully Calvo	FL	Podiatrist	$127.3K	$0
Stuart Patterson	FL	Orthopaedic Hand Surgery Physician	$125.5K	$0

Arthur Moore — Billing Profile & Reimbursement Data

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Arthur Moore — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References