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

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

Toby Merriman (NPI 1407801939)

Field	Value
Entity Type	Individual
Organization	Toby Merriman
Address	1550 E Heritage Park St
City	Meridian
State	ID
ZIP	83646
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$536.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	3,180	$60	$193.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,650	$80	$128.8K
D2392	Post 2 surface resin‑based composite	2,030	$60	$119.9K
D0150	Comprehensive oral evaluation – new or established patient	430	$50	$21.6K
D0330	N/A	290	$60	$18.7K
D2391	Resin‑based composite – one surface, posterior	390	$40	$16.7K
D0210	Intraoral - complete series of radiographic images	140	$80	$10.8K
D9420	N/A	10	$430	$6K
D1351	Sealant - per tooth	1,980	$1	$5.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	280	$20	$5.3K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Toby Merriman — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	38	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	58	320	310	$80	$80.8K
D9420	N/A	40	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	39	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	57	120	140	$120	$66K
D2393	Resin-based composite, three surfaces, posterior	65	70	140	$120	$41.6K
D0330	N/A	69	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	59	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	60	140	270	$40	$27.9K
D0150	Comprehensive oral evaluation – new or established patient	74	220	220	$30	$21.2K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A New Leaf, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$29.5M
Southern Idaho Surgery Center PLLC	ID	Ambulatory Surgical Clinic/Center	$0	$5.3M
A Helping Hand In Home Care	ID	In Home Supportive Care Agency	$0	$3.6M
Dental Care For Kids	ID	Pediatric Dentistry	$0	$3.1M
Watchdog LLC	ID	Emergency Response System Companies	$0	$2.4M
Idaho Transition Care, LLC	ID	Case Management Agency	$0	$2.1M
Small Talk Speech & Language Services	ID	Speech-Language Pathologist	$0	$1.8M
D&g Medical Associates PLLC	ID	Family Medicine Physician	$0	$1.3M
Capitol Healthcare, Inc.	ID	In Home Supportive Care Agency	$0	$1.3M
Mountain Pine Dermatology, PLLC	ID	Dermatology Physician	$0	$1.2M

Toby Merriman — Billing Profile & Reimbursement Data

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Toby Merriman — Billing Profile & Reimbursement Data

Sign up for Toby Merriman — 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