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

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

Terry Isom (NPI 1619973070)

Field	Value
Entity Type	Individual
Organization	Terry Isom
Address	6400 Se Lake Rd
City	Portland
State	OR
ZIP	97222
Taxonomy	Endodontics
NPI Enumerated	June 21, 2005

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0160	N/A	1,990	$140	$281K
D3320	N/A	220	$940	$202.3K
D0220	Intraoral - periapical first radiographic image	4,230	$30	$131.1K
D0140	Limited oral evaluation – problem focused	1,210	$100	$123.5K
D3310	Endodontic therapy, anterior tooth (excluding final restoration)	140	$890	$121.7K
D0230	Intraoral - periapical each additional radiographic image	3,560	$20	$81.8K
D0364	N/A	2,290	$30	$77.8K
D9310	N/A	380	$190	$71.3K
D3330	N/A	10	$1,000	$14K
D9230	N/A	30	$100	$2.6K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Terry Isom — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D3330	N/A	12	10	40	$940	$94.1K
D0160	N/A	1	10	300	$120	$63K
D3320	N/A	4	20	50	$550	$56.8K
D0140	Limited oral evaluation – problem focused	98	560	240	$30	$37.9K
D0364	N/A	1	10	620	$50	$33.5K
D3310	Endodontic therapy, anterior tooth (excluding final restoration)	2	10	60	$350	$31.5K
D9310	N/A	20	70	130	$60	$29.8K
D9230	N/A	154	180	320	$30	$23.2K
D0230	Intraoral - periapical each additional radiographic image	55	470	410	$10	$14.9K
D0220	Intraoral - periapical first radiographic image	36	610	420	$10	$14K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Oregon	OR	General Acute Care Hospital	$0	$20.5M
Eye Health Northwest, PC	OR	Ophthalmology Physician	$0	$15.7M
Providence Health & Services Oregon	OR	Clinical Pathology Physician	$0	$5.4M
Sunnybrook Chiropractic Corp	OR	Chiropractor	$0	$2.1M
Scsm, Inc	OR	Chiropractor	$0	$1.6M
Precision Fit Dental Prosthetics LLC	OR	Denturist	$0	$1.2M
Clackamas Education Service District Ei Ecse	OR	Local Education Agency (LEA)	$0	$1.1M
Clackamas County Fire District 1	OR	Land Ambulance	$155.6K	$601.7K
Joseph Simonett	OR	Ophthalmology Physician	$532.6K	$0
Jennifer Bray	OR	Family Nurse Practitioner	$105.2K	$0

Terry Isom — Billing Profile & Reimbursement Data

Sign up for Terry Isom — Billing Profile & Reimbursement Data policy alerts

Terry Isom — Billing Profile & Reimbursement Data

Sign up for Terry Isom — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References