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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

James Leroy (NPI 1447799168)

Field	Value
Entity Type	Individual
Organization	James Leroy
Address	222 Jefferson Blvd Ste 301
City	Warwick
State	RI
ZIP	02888
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	February 14, 2017

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	1,840	$330	$606.5K
D9222	N/A	990	$170	$168.9K
D9223	N/A	980	$160	$159.4K
D7230	N/A	290	$270	$77.5K
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…	430	$150	$64K
D0140	Limited oral evaluation – problem focused	1,260	$50	$62.8K
D0330	N/A	370	$80	$28.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	50	$110	$5.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

James Leroy — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	13	30	350	$110	$158.2K
D7240	N/A	2	10	210	$250	$143.4K
D9222	N/A	1	10	650	$170	$110.9K
D9223	N/A	1	10	650	$160	$104.9K
D7230	N/A	3	10	190	$190	$74.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	89	100	510	$50	$65.4K
D0330	N/A	50	100	400	$40	$30.7K
D0140	Limited oral evaluation – problem focused	42	130	410	$10	$18.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Your Choice Of Home Care LLC	RI	Home Health Agency	$0	$54.7M
Inner You LLC	RI	Clinical Social Worker	$0	$8.5M
Nash Corp	RI	Homemaker	$0	$2.3M
Rhode Island Parent Information Network, Inc	RI	Case Management Agency	$0	$1.6M
Oes Home Of Ri,inc/ethan Place	RI	Assisted Living Facility	$0	$1.1M
Matthew Brennan	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$920.6K
Alternative Integrative Medicine, Inc	RI	Pain Medicine Physician	$0	$840.6K
Alexander Turchetta	RI	Clinical Psychologist	$0	$576.8K
Child And Family Psychiatry, Inc.	RI	Psychiatry Physician	$0	$471.3K
Ocean State Urgent Care Center Of Warwick, LLC	RI	Urgent Care Clinic/Center	$0	$460.6K

James Leroy — Billing Profile & Reimbursement Data

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James Leroy — 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