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

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

Brandi Prather (NPI 1427107937)

Field	Value
Entity Type	Individual
Organization	Brandi Prather
Address	47 Sarahs Ln
City	Somerset
State	KY
ZIP	42503
Taxonomy	Pediatric Dentistry
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	34,930	$50	$1.8M
D0120	Periodic oral evaluation - established patient	30,040	$20	$690.8K
D1208	Topical application of fluoride - excluding varnish	40,250	$20	$644K
D2391	Resin‑based composite – one surface, posterior	10,010	$60	$560.3K
D2930	N/A	4,600	$120	$538.4K
D2392	Post 2 surface resin‑based composite	5,120	$70	$358.5K
D0330	N/A	7,220	$50	$339.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,570	$60	$317.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,260	$50	$283.9K
D0272	N/A	14,840	$20	$282K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Brandi Prather — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	22	160	610	$110	$228.6K
D1120	Prophylaxis–child	9	770	500	$50	$127.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	33	520	560	$50	$85.2K
D2392	Post 2 surface resin‑based composite	21	630	420	$60	$74.5K
D0150	Comprehensive oral evaluation – new or established patient	42	1,010	740	$30	$61.4K
D3220	N/A	9	100	280	$70	$56.8K
D9230	N/A	17	240	440	$30	$54.2K
D0330	N/A	19	840	420	$40	$52.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16	860	480	$40	$48K
D1351	Sealant - per tooth	11	320	480	$20	$47.1K

Showing 1–10 of 27

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Morrland Healthcare LLC	KY	Community/Behavioral Health Agency	$0	$54.8M
Applied Behavioral Advancements, LLC	KY	Community/Behavioral Health Agency	$0	$29.2M
Protea Behavioral Health Counseling, PLLC	KY	Professional Counselor	$0	$24.4M
Lake Cumberland Regional Hospital, LLC	KY	Internal Medicine Physician	$0	$15.6M
Cumberland Behavior Group, LLC	KY	Community/Behavioral Health Agency	$0	$15.2M
Quest Counseling	KY	Mental Health Counselor	$0	$12.5M
Lake Cumberland Recovery, Inc	KY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.8M
Achievements Through Actions	KY	Developmentally Disabled Services Day Training Agency	$0	$10M
Lake Cumberland Surgery Center LP	KY	Ambulatory Surgical Clinic/Center	$1M	$8.7M
Adult Day Health, Inc.	KY	Adult Day Care Clinic/Center	$0	$8.9M

Brandi Prather — Billing Profile & Reimbursement Data

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Brandi Prather — 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