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

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

Efrain S. Ruiz (NPI 1639342116)

Field	Value
Entity Type	Organization
Organization	Efrain S. Ruiz
Address	304 Pleasant St
City	Brockton
State	MA
ZIP	02301
Taxonomy	Pediatric Dentistry
NPI Enumerated	April 7, 2008

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	3,980	$250	$999.5K
D1120	Prophylaxis–child	18,740	$50	$955.7K
D0120	Periodic oral evaluation - established patient	24,470	$30	$709.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	26,680	$30	$693.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,280	$70	$579.7K
D2150	Amalgam - two surfaces, primary or permanent	3,320	$90	$308.5K
D1351	Sealant - per tooth	6,190	$40	$253.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,470	$100	$246.7K
D2140	Amalgam - one surface, primary or permanent	2,840	$80	$213.3K
D0272	N/A	5,470	$30	$164K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Efrain S. Ruiz — 5 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	55	260	1,530	$230	$664.9K
D1120	Prophylaxis–child	29	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	96	1,480	900	$50	$118.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	83	440	410	$70	$115.7K
D2392	Post 2 surface resin‑based composite	410	780	420	$80	$109.6K
D1351	Sealant - per tooth	61	450	490	$40	$101.3K
D8680	N/A	72	130	350	$90	$89.7K
D2391	Resin‑based composite – one surface, posterior	258	660	340	$60	$84.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	17	690	460	$30	$81.1K
D0120	Periodic oral evaluation - established patient	36	1,510	980	$20	$78.6K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Efrain S. Ruiz, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$309.8M
Old Colony Elderly Services, Inc.	MA	Case Management Agency	$0	$137.5M
South Bay Mental Health Center, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$112M
Massachusetts Mentor LLC	MA	Foster Care Agency	$0	$95.6M
Brockton Neighborhood Health Center	MA	Federally Qualified Health Center (FQHC)	$0	$91.2M
Sb Transitional Sub, LLC	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.8M
Steward Good Samaritan Medical Center, Inc.	MA	General Acute Care Hospital	$0	$64.2M
Pediatric Services Of America, LLC	MA	Nursing Care Agency	$0	$47.8M
South Bay Mental Health Center, Inc.	MA	Adolescent and Children Mental Health Clinic/Center	$0	$43.2M
Sb Transitional Sub, LLC	MA	Early Intervention Provider Agency	$0	$35.9M

Efrain S. Ruiz — Billing Profile & Reimbursement Data

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Efrain S. Ruiz — 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