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

Why is the Medicaid comparison limited to Mississippi 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. Mississippi (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 Rahaim (NPI 1518214915)

Field	Value
Entity Type	Individual
Organization	James Rahaim
Address	101 Reese St
City	Bay Saint Louis
State	MS
ZIP	39520
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	August 6, 2012

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	27,450	$100	$2.7M
D8080	N/A	1,310	$1,050	$1.4M
D0340	N/A	290	$50	$13.1K
D0330	N/A	290	$40	$12.2K
D0150	Comprehensive oral evaluation – new or established patient	240	$40	$8.7K
D0350	N/A	290	$20	$6.1K
D0470	N/A	80	$40	$3.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

James Rahaim — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	10	110	2,280	$90	$712.3K
D8080	N/A	6	50	180	$830	$462.1K
D0150	Comprehensive oral evaluation – new or established patient	467	700	590	$30	$45.9K
D0330	N/A	315	590	340	$30	$35.4K
D0350	N/A	40	90	250	$20	$27.6K
D0340	N/A	16	40	210	$50	$20.6K
D0470	N/A	8	20	70	$50	$13.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Medical Center - Hancock LLC	MS	General Acute Care Hospital	$0	$16.8M
Covenant Laboratories	MS	Clinical Medical Laboratory	$3.6M	$350.8K
Ochsner Mississippi, LLC	MS	Internal Medicine Physician	$0	$3.2M
J Austin Rahaim, Dmd, Ms, PA	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.6M
Hancock Emergency Group LLC	MS	Emergency Medicine Physician	$0	$2M
Coastal Family Health Center, Inc	MS	Federally Qualified Health Center (FQHC)	$0	$1.5M
Children's International, LLC	MS	Primary Care Clinic/Center	$0	$1.4M
Matthew Brennan	MS	General Practice Physician	$1.4M	$0
Hancock Womens Center PA	MS	Gynecology Physician	$0	$1.2M
Matthew Capo	MS	Physical Therapist	$193.1K	$0

James Rahaim — Billing Profile & Reimbursement Data

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James Rahaim — 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