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

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

Justin Walter (NPI 1265570873)

Field	Value
Entity Type	Individual
Organization	Justin Walter
Address	1230 George St
City	Woodburn
State	OR
ZIP	97071
Taxonomy	Dentist
NPI Enumerated	February 3, 2007

Payer Source	Total Paid
Medicaid	$1.8M
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
D2392	Post 2 surface resin‑based composite	4,210	$60	$260.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,220	$50	$240.2K
D0150	Comprehensive oral evaluation – new or established patient	5,240	$40	$183.4K
D1208	Topical application of fluoride - excluding varnish	9,400	$20	$159.8K
D1120	Prophylaxis–child	3,570	$40	$135.5K
D0120	Periodic oral evaluation - established patient	4,500	$30	$117.1K
D0274	N/A	4,930	$20	$113.4K
D2391	Resin‑based composite – one surface, posterior	1,980	$50	$98.8K
D0140	Limited oral evaluation – problem focused	2,860	$30	$91.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,140	$80	$89.8K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Justin Walter — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	48	270	200	$40	$60.1K
D1120	Prophylaxis–child	53	480	350	$30	$55.5K
D2392	Post 2 surface resin‑based composite	11	360	260	$50	$47.6K
D0120	Periodic oral evaluation - established patient	47	610	460	$20	$40.9K
D0140	Limited oral evaluation – problem focused	33	560	240	$30	$37.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	13	500	280	$30	$30.5K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	77	120	160	$50	$28.6K
D0150	Comprehensive oral evaluation – new or established patient	12	530	260	$20	$27.3K
D4355	N/A	10	40	40	$70	$26K
D2391	Resin‑based composite – one surface, posterior	19	310	160	$30	$25.2K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Telecare Mental Health Services Of Oregon, Inc	OR	Psychiatric Residential Treatment Facility	$0	$11M
Woodburn Pediatric Clinic LLP	OR	Pediatrics Physician	$0	$5.6M
Woodburn Ambulance Service, Inc.	OR	Land Ambulance	$572.7K	$4.4M
Dva Healthcare Renal Care Inc	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Silverton Health	OR	Rural Health Clinic/Center	$0	$2.8M
Woodburn Eye Center, LLC	OR	Optometrist	$0	$2.6M
Brightways Counseling Group At Woodburn LLC	OR	Mental Health Counselor	$0	$2.4M
Yakima Valley Farm Workers Clinic	OR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Yakima Valley Farm Workers Clinic	OR	Federally Qualified Health Center (FQHC)	$0	$1.2M
Alison Carrigg	OR	Dermatopathology Physician	$265.4K	$0

Justin Walter — Billing Profile & Reimbursement Data

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Justin Walter — 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