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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Michael Pipo (NPI 1275633794)

Field	Value
Entity Type	Individual
Organization	Michael Pipo
Address	970 Main St
City	Follansbee
State	WV
ZIP	26037
Taxonomy	General Practice Dentistry
NPI Enumerated	September 24, 2006

Payer Source	Total Paid
Medicaid	$910.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,750	$40	$180.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,720	$60	$157.5K
D0120	Periodic oral evaluation - established patient	5,910	$20	$112.3K
D0274	N/A	2,800	$20	$64.4K
D2150	Amalgam - two surfaces, primary or permanent	970	$60	$59.2K
D0330	N/A	1,260	$50	$56.6K
D1208	Topical application of fluoride - excluding varnish	3,150	$20	$53.6K
D1120	Prophylaxis–child	2,170	$20	$52.1K
D2140	Amalgam - one surface, primary or permanent	640	$50	$32.6K
D2335	N/A	300	$100	$28.3K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Michael Pipo — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	133	130	170	$100	$93.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	13	110	330	$60	$90.5K
D2391	Resin‑based composite – one surface, posterior	59	120	220	$80	$70.7K
D1120	Prophylaxis–child	44	270	290	$30	$49.1K
D2150	Amalgam - two surfaces, primary or permanent	1	10	580	$80	$40.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5	260	300	$50	$38.5K
D0330	N/A	42	230	210	$50	$37.7K
D0120	Periodic oral evaluation - established patient	18	310	430	$20	$35.8K
D0140	Limited oral evaluation – problem focused	180	220	270	$30	$34.5K
D1208	Topical application of fluoride - excluding varnish	34	240	330	$20	$34.2K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geps Physician Group Of West Virginia PC	WV	Geriatric Medicine (Internal Medicine) Physician	$0	$923.7K
Follansbee Pharmacy, Inc	WV	Pharmacy	$77.2K	$73.9K
Stephen Mascio	WV	Family Medicine Physician	$87.6K	$0
Amy Mihellis	WV	Family Nurse Practitioner	$61.4K	$0

Michael Pipo — Billing Profile & Reimbursement Data

Sign up for Michael Pipo — Billing Profile & Reimbursement Data policy alerts

Michael Pipo — Billing Profile & Reimbursement Data

Sign up for Michael Pipo — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References