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.

Douglas Park (NPI 1366521122)

Field	Value
Entity Type	Individual
Organization	Douglas Park
Address	1201 Se 223rd Ave
City	Gresham
State	OR
ZIP	97030
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$952.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2391	Resin‑based composite – one surface, posterior	3,360	$60	$184.9K
D0120	Periodic oral evaluation - established patient	5,750	$30	$161.1K
D1120	Prophylaxis–child	3,840	$40	$149.6K
D1208	Topical application of fluoride - excluding varnish	5,680	$20	$108K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,920	$50	$88.1K
D2150	Amalgam - two surfaces, primary or permanent	1,360	$60	$85.5K
D0274	N/A	1,060	$30	$29.7K
D0272	N/A	1,560	$20	$29.6K
D0220	Intraoral - periapical first radiographic image	1,960	$10	$25.4K
D1351	Sealant - per tooth	730	$30	$24.2K

Showing 1–10 of 21

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

Douglas Park — 2 of 21 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

21 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)	157	270	200	$40	$60.1K
D1120	Prophylaxis–child	45	480	350	$30	$55.5K
D0120	Periodic oral evaluation - established patient	34	610	460	$20	$40.9K
D2150	Amalgam - two surfaces, primary or permanent	11	70	250	$50	$38.4K
D0140	Limited oral evaluation – problem focused	282	560	240	$30	$37.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	58	500	280	$30	$30.5K
D0150	Comprehensive oral evaluation – new or established patient	284	530	260	$20	$27.3K
D1351	Sealant - per tooth	98	260	360	$10	$25.7K
D2391	Resin‑based composite – one surface, posterior	8	310	160	$30	$25.2K
D9230	N/A	62	180	320	$30	$23.2K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Mount Hood Medical Center	OR	General Acute Care Hospital	$0	$43.2M
Telecare Mental Health Services Of Oregon, Inc	OR	Mental Illness Community Based Residential Treatment Facility	$0	$12M
The Evangelical Lutheran Good Samaritan Society	OR	In Home Supportive Care Agency	$0	$5M
Calcagno Pediatrics PC	OR	Pediatrics Physician	$0	$5M
Mtn. View Family Practice, PC	OR	Family Medicine Physician	$0	$1.8M
Jiyoung E Lee Dmd PC	OR	Pediatric Dentistry	$0	$1.6M
Performance Modalities Inc	OR	Oxygen Equipment & Supplies (DME)	$0	$1.4M
Providence Health & Services - Oregon	OR	Family Medicine Physician	$0	$1.3M
Legacy Mount Hood Medical Center	OR	Clinic/Center	$0	$1.1M
Columbia Pain And Spine Institute	OR	Physical Medicine & Rehabilitation Physician	$0	$1M

Douglas Park — Billing Profile & Reimbursement Data

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Douglas Park — 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