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.

Jordan E. Higham PA (NPI 1437595881)

Field	Value
Entity Type	Organization
Organization	Jordan E. Higham PA
Address	929 S Utah Ave
City	Idaho Falls
State	ID
ZIP	83402
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 13, 2013

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	28,440	$50	$1.5M
D2930	N/A	7,540	$110	$806.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	9,240	$80	$711.3K
D2392	Post 2 surface resin‑based composite	9,080	$70	$635.8K
D0330	N/A	6,670	$70	$479.9K
D0150	Comprehensive oral evaluation – new or established patient	6,010	$50	$288.3K
D0210	Intraoral - complete series of radiographic images	2,190	$130	$278.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,270	$40	$221.4K
D0145	N/A	4,010	$50	$200.6K
D1351	Sealant - per tooth	17,520	$10	$157.7K

Showing 1–10 of 29

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

Jordan E. Higham PA — 10 of 22 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	50	750	$70	$171.2K
D1120	Prophylaxis–child	5	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5	320	310	$80	$80.8K
D9420	N/A	6	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	3	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	8	120	140	$120	$66K
D8670	N/A	27	30	280	$70	$55.9K
D0145	N/A	2	30	370	$50	$44K
D2393	Resin-based composite, three surfaces, posterior	70	70	140	$120	$41.6K
D0330	N/A	2	170	170	$50	$35.6K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Jordan E. Higham PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Reach	ID	In Home Supportive Care Agency	$0	$31.9M
Development Workshop, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$10.8M
Tueller Counseling Inc	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
Vista Family Services LLC	ID	Community/Behavioral Health Agency	$0	$6.3M
Answers, LLC	ID	Adult Mental Health Clinic/Center	$0	$5.9M
City Of Idaho Falls	ID	Land Ambulance	$900.3K	$4.8M
Riverside Service Group Inc	ID	Developmentally Disabled Services Day Training Agency	$0	$2.9M
D7 Treatment	ID	Community/Behavioral Health Agency	$0	$2.2M
Abc Homecare Inc.	ID	Licensed Practical Nurse	$0	$2.1M
Beehive Rehabilitation And Counseling, PA	ID	Community/Behavioral Health Agency	$0	$1.7M

Jordan E. Higham PA — Billing Profile & Reimbursement Data

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Jordan E. Higham PA — 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