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

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

Ryan K. Larsen Dmd & Associates (NPI 1306258991)

Field	Value
Entity Type	Organization
Organization	Ryan K. Larsen Dmd & Associates
Address	3031 Grand Ave #198
City	Billings
State	MT
ZIP	59102
Taxonomy	Dental Anesthesiology
NPI Enumerated	May 29, 2014

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Key Findings

RYAN K. LARSEN DMD & ASSOCIATES is effectively a Medicaid-focused practice: the provider shows no Medicare billing on file and reports $8.3M in lifetime Medicaid revenue, indicating near-exclusive exposure to the Medicaid payer for the record period. The absence of Medicare activity combined with concentrated Medicaid revenue suggests the entity operates primarily within the public-payor dental market rather than a mixed Medicare/Medicaid practice model.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 85.5% of this provider's total Medicaid revenue. In particular, D9223 generates $3.5M (41.7% of Medicaid revenue) and D9999 generates $3M (36.4%), together driving the majority of billing and indicating reliance on a narrow set of services for the practice’s revenue base.

The code mix and taxonomic classification (Dental Anesthesiology) together imply a specialized service profile: large volumes of D9223 (7.1K claims, $490 avg paid/claim) and D9222 (6.9K claims, $89 avg paid/claim) are consistent with repeated, procedure-focused dental anesthesia or sedation services rather than low-volume, high-complexity surgical episodes. While D9999 has no description available, its very large contribution ($3M across 7.1K claims at $425 avg paid/claim) suggests frequent billing of an unspecified or catch-all dental procedure code alongside anesthesia-related codes, pointing to a standardized, high-throughput operational model.

State-level competitive standing is dominant for multiple key codes: the provider ranks #1 in-state for D9223 (1 of 25 providers, 100th percentile), D9222 (1 of 22 providers, 100th percentile), D9612 (1 of 9 providers, 100th percentile), and D9310 (1 of 39 providers, 100th percentile). These rank/percentile positions indicate the practice is a major statewide operator for several of its top-billed Medicaid codes and is reporting volumes that are notably above typical state volumes for those codes.

Not all high-volume codes are uniformly unusual versus peers: D9999 ranks #1 of 5 providers in-state and is labeled as typical/unremarkable volume for that code despite its large revenue share ($3M, 36.4%). This suggests that while the provider leads in absolute dollars for D9999, the underlying state market for that unspecified code includes a small set of comparable billers and the observed volumes are within the state norm for that code group.

Several additional codes show concentrated but smaller contributions and are flagged as notable outliers: D9222 contributes $611.1K (7.3% of Medicaid revenue) and is described as notably above typical state volume, while D9920 contributes $320.2K (3.8% of Medicaid revenue) and is identified as an extreme outlier (6K claims, $53 avg paid/claim), indicating unusually high utilization relative to peers for that specific code. These patterns highlight areas where the provider’s utilization diverges strongly from state norms and where payer review or deeper clinical benchmarking could be informative.

Operational scale is reflected in extremely high claim counts for top codes: multiple top codes show roughly 6–7.1K claims each (e.g., D9223 7.1K claims, D9999 7.1K claims, D9222 6.9K claims), consistent with a high-throughput clinic model rather than episodic or one-off procedures. The combination of high claim volumes and moderate per-claim payments (for example, $490 avg for D9223 and $425 avg for D9999) underscores a volume-driven revenue model within Medicaid.

The provider has an NPI enumeration date of 2014-05-29 (~12 years ago), indicating a stable multi-year presence in the market; coupled with the concentrated, high-volume Medicaid billing and top-in-state rankings, this tenure supports the interpretation of an established Medicaid-focused dental anesthesiology operation with strong local market penetration.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9223	N/A	7,090	$490	$3.5M
D9999	N/A	7,130	$430	$3M
D9222	N/A	6,870	$90	$611.1K
D9612	N/A	6,500	$80	$532.8K
D9310	N/A	6,710	$50	$342.4K
D9920	N/A	6,040	$50	$320.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	270	$60	$16.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Ryan K. Larsen Dmd & Associates — 6 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9999	N/A	1	10	280	$400	$1.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	10	210	$1,680	$959.9K
D9223	N/A	1	30	1,090	$250	$451.6K
D9222	N/A	1	20	1,380	$80	$164.8K
D9612	N/A	1	10	140	$80	$128.1K
D9310	N/A	1	40	450	$50	$74.1K
D9920	N/A	1	30	140	$80	$52.3K

Nearby Providers

Other providers in the same ZIP code as Ryan K. Larsen Dmd & Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Dynamics, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$65.4M
New Day, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$27.7M
Youth Dynamics, Inc.	MT	Professional Counselor	$0	$24.6M
Resource, Support, & Development, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Brittany Curl	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Rimrock Pediatric Dentistry	MT	Pediatric Dentistry	$0	$15.2M
Bridges Of Montana	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
The Childrens Clinic Of Billings, PC	MT	Pediatrics Physician	$0	$10.9M
Community Option Resource Enterprises, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Brewer Dental Center PLLC	MT	General Practice Dentistry	$0	$8.3M

Ryan K. Larsen Dmd & Associates — Billing Profile & Reimbursement Data

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Ryan K. Larsen Dmd & Associates — 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