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

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

Paul Pladziewicz (NPI 1235120205)

Field	Value
Entity Type	Individual
Organization	Paul Pladziewicz
Address	3153 W Fullerton Ave
City	Chicago
State	IL
ZIP	60647
Taxonomy	Dentist
NPI Enumerated	October 31, 2005

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	25,990	$70	$1.8M
D5110	N/A	2,300	$410	$937.3K
D5120	N/A	1,910	$410	$773.4K
D1120	Prophylaxis–child	6,210	$40	$254.8K
D0330	N/A	10,610	$20	$254.7K
D0120	Periodic oral evaluation - established patient	8,660	$30	$242.4K
D0140	Limited oral evaluation – problem focused	13,170	$20	$223.9K
D1208	Topical application of fluoride - excluding varnish	6,430	$30	$167.3K
D1351	Sealant - per tooth	2,250	$70	$164K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,330	$40	$58.4K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Paul Pladziewicz — 5 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	217	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	234	1,270	530	$60	$87.1K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	128	490	160	$100	$64.4K
D0120	Periodic oral evaluation - established patient	146	2,170	1,010	$30	$64.3K
D5110	N/A	1	70	40	$400	$55.7K
D1208	Topical application of fluoride - excluding varnish	102	1,480	700	$20	$45.2K
D5120	N/A	1	60	30	$400	$43.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	980	190	$60	$40.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	175	1,260	270	$40	$23.8K
D0150	Comprehensive oral evaluation – new or established patient	1,328	1,790	380	$20	$19.1K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Infant Welfare Society Of Chicago	IL	Federally Qualified Health Center (FQHC)	$0	$29.6M
Erie Family Health Center, Inc	IL	Federally Qualified Health Center (FQHC)	$0	$12.7M
Healthcare Alternative Systems, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.3M
Flavia Lamberghini	IL	Pediatric Dentistry	$0	$7.9M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$4.7M
Primecare Community Health, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$4.3M
Rabeh Salamah-mohammad	IL	General Practice Dentistry	$0	$3.2M
Lawrence Kaufman	IL	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$6.3K	$2.8M
Fullerton Kimball Medical & Surgical Center	IL	Ambulatory Surgical Clinic/Center	$993.7K	$0
Paras Parekh	IL	Foot & Ankle Surgery Podiatrist	$133.1K	$305.5K

Paul Pladziewicz — Billing Profile & Reimbursement Data

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Paul Pladziewicz — 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