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

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

Hawkins Mccaghren Partnership (NPI 1265581268)

Field	Value
Entity Type	Organization
Organization	Hawkins Mccaghren Partnership
Address	1823 Somerville Rd Se
City	Decatur
State	AL
ZIP	35601
Taxonomy	General Practice Dentistry
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

Key Findings

HAWKINS MCCAGHREN PARTNERSHIP is effectively a Medicaid-centric practice: lifetime Medicaid revenue is $13.5M and there is no Medicare billing on file. This makes the provider functionally single-payer in scope for the data shown, so financial performance and utilization are tied to Medicaid policy and rates rather than Medicare volume.

The provider has long tenure in NPI files, enumerated on 2007-01-09 (~19 years ago), indicating an established practice footprint and sustained participation in state Medicaid programs. This longevity supports the high cumulative claim counts and revenue observed across preventive and restorative dental codes.

Revenue is moderately concentrated in a small set of procedures: the precomputed top 3 Medicaid codes account for 27.6% of total Medicaid revenue. Those top drivers are D2392 (accounts for $1.5M revenue (11.3% of this provider's total Medicaid revenue)), D1120 (accounts for $1.1M revenue (8.3% of this provider's total Medicaid revenue)), and D2391 (accounts for $1M revenue (7.9% of this provider's total Medicaid revenue)), signaling that posterior composite restorations and child prophylaxis are key revenue engines.

The code mix indicates a high-volume general dentistry operation with a strong pediatric and preventive emphasis alongside substantial restorative activity. High counts for preventive/pediatric codes—D0120 with 53.6K claims and $964K revenue, D1208 with 49.3K claims and $690.3K revenue, and D1120 with 39.2K claims and $1.1M revenue—combined with large volumes for posterior composites (D2392 19.3K claims and D2391 16.9K claims) point to a clinic model that delivers many routine preventive visits and same-site restorative care.

The practice is a dominant statewide performer on multiple codes: D2391 ranks #1 of 247 providers in-state (100th percentile; extreme outlier) and D2392 ranks #2 of 280 providers in-state (100th percentile; extreme outlier). Several other preventive and diagnostic codes are also at the top of in-state distributions—D0120 ranks #2 of 620 (100th percentile) and D1208 ranks #3 of 535 (100th percentile)—indicating this provider is a major volume leader in Alabama Medicaid for both preventive visits and common restorative procedures.

Some codes show only typical or modest standing relative to peers despite material dollars: D7240 ($965.1K revenue) ranks #7 of 58 providers in-state (89th percentile; typical, unremarkable volume) and D2930 ($765.7K revenue) ranks #9 of 118 (93th percentile; typical, unremarkable volume). Meanwhile, D7140 (extraction) is notably above typical state volume—$463K revenue and ranks #4 of 188 (98th percentile)—which aligns with a comprehensive general dentistry practice that manages both restorations and extractions.

High claim counts paired with modest average paid-per-claim suggest a high-throughput delivery model focused on many low-to-moderate reimbursed services: examples include D0120 at $18 avg paid/claim (53.6K claims), D1208 at $14 avg paid/claim (49.3K claims), and D1120 at $28 avg paid/claim (39.2K claims). This pattern implies operational emphasis on scale and throughput to generate the reported $13.5M in Medicaid revenue rather than reliance on fewer high-dollar procedures.

From a payer/competitor standpoint, the provider is a strategic Medicaid market incumbent in Alabama, occupying extreme outlier status on multiple high-volume procedure codes and ranking in the top percentiles across preventive, diagnostic, and restorative services. Analysts should view this entity as a large-volume Medicaid dental provider whose utilization trends and reimbursement exposure will be sensitive to state Medicaid policy changes affecting pediatric preventive care and common restorative codes.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	19,330	$80	$1.5M
D1120	Prophylaxis–child	39,170	$30	$1.1M
D2391	Resin‑based composite – one surface, posterior	16,880	$60	$1M
D7240	N/A	4,920	$200	$965.1K
D0120	Periodic oral evaluation - established patient	53,560	$20	$964K
D2930	N/A	7,890	$100	$765.7K
D1208	Topical application of fluoride - excluding varnish	49,300	$10	$690.3K
D9230	N/A	32,390	$20	$680.1K
D1999	N/A	35,590	$20	$676.2K
D0330	N/A	14,450	$50	$664.6K

Showing 1–10 of 40

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Hawkins Mccaghren Partnership — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D3240	N/A	4	10	1,230	$150	$383.7K
D7240	N/A	7	60	610	$180	$336.5K
D7230	N/A	18	30	310	$160	$263.3K
D2930	N/A	9	120	1,240	$90	$233.9K
D3230	N/A	3	10	190	$120	$218.2K
D1354	N/A	59	90	1,190	$20	$210.5K
D9222	N/A	17	50	430	$120	$172.6K
D2392	Post 2 surface resin‑based composite	2	280	520	$70	$144.9K
D9223	N/A	16	50	520	$90	$133K
D3330	N/A	8	20	40	$460	$115K

Showing 1–10 of 40

Nearby Providers

Other providers in the same ZIP code as Hawkins Mccaghren Partnership, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Encore Rehabilitation, Inc	AL	Physical Therapy Clinic/Center	$0	$8.3M
Sunbridge Home Health Care, Inc.	AL	In Home Supportive Care Agency	$0	$7.8M
H H Health System-morgan LLC	AL	General Acute Care Hospital	$0	$6.9M
Decatur Morgan Pediatrics	AL	Pediatrics Physician	$0	$3.6M
Riverside Family Health LLC	AL	Family Nurse Practitioner	$0	$3.3M
Decatur Morgan Emergency Medicine	AL	Emergency Medicine Physician	$0	$2.9M
Encore Rehabilitation, Inc.	AL	Physical Therapy Clinic/Center	$0	$2.6M
Hh Health System - Dmh Ambulance LLC	AL	Land Ambulance	$1.1M	$1.4M
Naveen Lobo	AL	Medical Oncology Physician	$2.4M	$0
Heather Shah	AL	Hematology & Oncology Physician	$1.8M	$0

Hawkins Mccaghren Partnership — Billing Profile & Reimbursement Data

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Hawkins Mccaghren Partnership — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References