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

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

Terry Boone (NPI 1376691873)

Field	Value
Entity Type	Individual
Organization	Terry Boone
Address	7197 Sheridan Rd
City	White Hall
State	AR
ZIP	71602
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 8, 2007

Payer Source	Total Paid
Medicaid	$1.3M
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
D2930	N/A	2,010	$140	$279.3K
D0240	N/A	6,310	$20	$151.5K
D9248	N/A	1,410	$100	$135.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,300	$70	$92.5K
D0120	Periodic oral evaluation - established patient	3,510	$30	$91.2K
D0272	N/A	3,550	$20	$85.3K
D3220	N/A	960	$90	$82.3K
D1120	Prophylaxis–child	2,120	$40	$74.2K
D1208	Topical application of fluoride - excluding varnish	3,600	$20	$72.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,470	$50	$69.1K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Terry Boone — 0 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	27	110	570	$130	$481.4K
D0240	N/A	18	80	1,810	$20	$140.8K
D3220	N/A	14	60	250	$80	$124.5K
D9248	N/A	15	50	440	$90	$123.6K
D1120	Prophylaxis–child	80	470	230	$30	$85.3K
D0120	Periodic oral evaluation - established patient	110	770	540	$30	$75.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	140	680	340	$50	$72.5K
D2392	Post 2 surface resin‑based composite	50	110	230	$70	$71.9K
D2150	Amalgam - two surfaces, primary or permanent	89	250	180	$80	$71.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	37	230	200	$70	$69.2K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Medical, Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$28.8M
Thrive Pediatric Nursing Inc	AR	Home Health Agency	$0	$8.9M
Bhc Pinnacle Pointe Hospital, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$6.5M
Jefferson Regional Homecare, LLC	AR	Home Health Agency	$0	$2.9M
Timmothy Reece	AR	Family Medicine Physician	$521.9K	$1.6M
Lincare Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Interventional Surgery Institute Of White Hall LLC	AR	Ambulatory Surgical Clinic/Center	$130.7K	$129.3K
Brittany Stephens	AR	Family Nurse Practitioner	$156.7K	$44.1K
Lee Davis	AR	Interventional Cardiology Physician	$192.6K	$0
Ali Al-nashif	AR	Pulmonary Disease Physician	$143.7K	$0

Terry Boone — Billing Profile & Reimbursement Data

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Terry Boone — 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