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

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

Steve Koplow (NPI 1184612285)

Field	Value
Entity Type	Individual
Organization	Steve Koplow
Address	1011 Middle Creek Rd
City	Sevierville
State	TN
ZIP	37862
Taxonomy	General Practice Dentistry
NPI Enumerated	October 12, 2005

Payer Source	Total Paid
Medicaid	$3.5M
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
D2150	Amalgam - two surfaces, primary or permanent	5,510	$80	$418.8K
D0120	Periodic oral evaluation - established patient	15,980	$30	$399.4K
D1120	Prophylaxis–child	11,160	$30	$379.3K
D1208	Topical application of fluoride - excluding varnish	16,960	$20	$356.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,270	$40	$275.9K
D9230	N/A	8,440	$30	$244.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,520	$70	$229K
D0210	Intraoral - complete series of radiographic images	3,100	$60	$192.3K
D0230	Intraoral - periapical each additional radiographic image	18,380	$10	$183.8K
D2160	Amalgam - three surfaces, primary or permanent	1,550	$90	$134.9K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Steve Koplow — 6 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	110	160	770	$110	$399.1K
D3220	N/A	113	110	610	$80	$167.4K
D1120	Prophylaxis–child	59	660	720	$30	$135.9K
D0120	Periodic oral evaluation - established patient	43	720	980	$20	$106.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	39	370	350	$60	$82.8K
D2150	Amalgam - two surfaces, primary or permanent	4	90	220	$70	$81.3K
D2140	Amalgam - one surface, primary or permanent	12	80	230	$60	$78.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	221	650	730	$20	$72.1K
D1208	Topical application of fluoride - excluding varnish	18	440	950	$20	$71.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	33	690	640	$40	$69.8K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leconte Medical Center	TN	General Acute Care Hospital	$0	$19.1M
Smoky Mountain Children's Home	TN	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$12.6M
Leconte Orthopedics, PLLC	TN	General Practice Physician	$0	$3.3M
Sevier County	TN	Land Ambulance	$988.3K	$1.3M
Med-trans Corporation	TN	Air Ambulance	$447.3K	$159.7K
Feras Abdul Khalek	TN	Hematology & Oncology Physician	$470.8K	$820
Jennifer Loveday	TN	Family Nurse Practitioner	$293.3K	$3.5K
Melissa Blair	TN	Family Nurse Practitioner	$43.6K	$124.8K
Natasa Townsend	TN	Radiation Oncology Physician	$151.9K	$0
Jessica Brewer	TN	Physical Therapist	$109.7K	$0

Steve Koplow — Billing Profile & Reimbursement Data

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Steve Koplow — 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