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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Frank Newman (NPI 1548454085)

Field	Value
Entity Type	Individual
Organization	Frank Newman
Address	1717 Medical Building
City	Fargo
State	ND
ZIP	58103
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	August 28, 2007

Payer Source	Total Paid
Medicaid	$104.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	170	$160	$27K
D0150	Comprehensive oral evaluation – new or established patient	470	$40	$19K
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…	110	$140	$15.5K
D9223	N/A	140	$100	$13.4K
D9222	N/A	110	$110	$12.7K
D7230	N/A	80	$130	$10K
D0140	Limited oral evaluation – problem focused	90	$40	$3.9K
D0330	N/A	40	$50	$1.8K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	130	$10	$1.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Frank Newman — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

9 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…	4	10	100	$150	$280.3K
D7240	N/A	3	10	170	$280	$224.6K
D9222	N/A	4	10	80	$110	$95.3K
D9223	N/A	4	10	110	$110	$84.5K
D0140	Limited oral evaluation – problem focused	22	40	100	$70	$44K
D0150	Comprehensive oral evaluation – new or established patient	19	60	250	$50	$27K
D7230	N/A	2	10	80	$200	$18.1K
D0330	N/A	29	40	80	$40	$18.1K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	13	20	150	$10	$3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Frank Newman, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$64.5M
Mercy Hospital Springfield	MO	Land Ambulance	$0	$46.7M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$6.6M
Mercy Hospital Springfield	MO	Air Ambulance	$0	$6.5M
Adam Carver	MO	Ophthalmology Physician	$2.2M	$0
Erica Ballard	MO	Ophthalmology Physician	$1.4M	$0
Xiaoqi Sun	MO	Ophthalmology Physician	$996.1K	$0
Christopher Stout	AR	Vascular Surgery Physician	$908.2K	$260
Yaqoob Ali	MO	Hematology & Oncology Physician	$699.7K	$0
Aaron Dent	MO	Ophthalmology Physician	$688.8K	$0

Frank Newman — Billing Profile & Reimbursement Data

Sign up for Frank Newman — Billing Profile & Reimbursement Data policy alerts

Frank Newman — Billing Profile & Reimbursement Data

Sign up for Frank Newman — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References