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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

James Mullane (NPI 1346397890)

Field	Value
Entity Type	Individual
Organization	James Mullane
Address	24 Salt Pond Road
City	Wakefield
State	RI
ZIP	02879
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicaid	$547.8K
Medicare	$0

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
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…	4,700	$80	$385.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,470	$70	$104.3K
D0140	Limited oral evaluation – problem focused	3,560	$10	$49.9K
D9110	N/A	90	$40	$3.5K
D7240	N/A	20	$160	$2.6K
D0220	Intraoral - periapical first radiographic image	230	$10	$2.3K
DO140	N/A	10	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

James Mullane — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	3	30	350	$110	$158.2K
D7240	N/A	9	10	210	$250	$143.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	19	100	510	$50	$65.4K
D0140	Limited oral evaluation – problem focused	13	130	410	$10	$18.3K
D9110	N/A	14	20	110	$40	$15.4K
D0220	Intraoral - periapical first radiographic image	89	150	460	$10	$8.7K
DO140	N/A	1	10	10	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South County Hospital Healthcare System	RI	General Acute Care Hospital	$0	$5.3M
Eric Prosseda	RI	General Practice Dentistry	$0	$5.2M
Joey Napolitano	RI	Public Health Dentistry	$0	$1.7M
Elise Jarvis	RI	Mental Health Counselor	$0	$1.7M
Rhode Island Pet Services, LLC	RI	Mobile Radiology Clinic/Center	$773.2K	$497.1K
Catherine Degood	RI	Addiction Medicine (Family Medicine) Physician	$3.1K	$1.1M
Emergency Physician Associates Of New England PC	RI	Emergency Medicine Physician	$0	$1M
Ira Kulman	RI	Clinical Neuropsychologist	$0	$1M
South Kingstown School Department	RI	Local Education Agency (LEA)	$0	$814K
Emily Colyer	RI	Emergency Medicine Physician	$36K	$528.6K

James Mullane — Billing Profile & Reimbursement Data

Sign up for James Mullane — Billing Profile & Reimbursement Data policy alerts

James Mullane — Billing Profile & Reimbursement Data

Sign up for James Mullane — 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