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

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

Joseph Hale (NPI 1396900866)

Field	Value
Entity Type	Individual
Organization	Joseph Hale
Address	3890 Austin Peay Hwy
City	Memphis
State	TN
ZIP	38128
Taxonomy	General Practice Dentistry
NPI Enumerated	July 24, 2008

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	5,050	$80	$424.2K
D0150	Comprehensive oral evaluation – new or established patient	3,060	$110	$345.7K
D0220	Intraoral - periapical first radiographic image	12,310	$30	$332.5K
D0140	Limited oral evaluation – problem focused	4,570	$70	$324.5K
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…	4,800	$70	$312.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,980	$30	$107.3K
D2392	Post 2 surface resin‑based composite	1,100	$90	$99K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,350	$30	$93.7K
D0274	N/A	6,710	$10	$80.5K
D2140	Amalgam - one surface, primary or permanent	1,440	$60	$79K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Joseph Hale — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	146	660	720	$30	$135.9K
D2392	Post 2 surface resin‑based composite	140	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	133	720	980	$20	$106.4K
D2752	N/A	2	10	140	$450	$98K
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…	5	130	240	$110	$89.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	134	370	350	$60	$82.8K
D2150	Amalgam - two surfaces, primary or permanent	16	90	220	$70	$81.3K
D2140	Amalgam - one surface, primary or permanent	15	80	230	$60	$78.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	122	650	730	$20	$72.1K
D2391	Resin‑based composite – one surface, posterior	135	440	280	$60	$69.8K

Showing 1–10 of 26

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Resources For Human Development	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$42.2M
Raleigh Group P.C.	TN	Pediatrics Physician	$0	$24.8M
The Camellia Foundation	TN	Family Medicine Physician	$0	$17.3M
Bio-medical Applications Of Tennessee, Inc.	TN	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.2M
Christopher Wilson	TN	Dentist	$0	$2.8M
Healthcare Transport, LLC	TN	Land Ambulance	$937.3K	$1.1M
Lifetech Ambulance, LLC	TN	Ambulance	$659K	$877.9K
Joseph Weinstein	TN	Interventional Cardiology Physician	$872.5K	$0
Minesh Pathak	TN	Nephrology Physician	$315.6K	$0
Emmanuel Iloh	TN	Internal Medicine Physician	$282.5K	$24.6K

Joseph Hale — Billing Profile & Reimbursement Data

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Joseph Hale — 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