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

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

Robert Lewis (NPI 1649470832)

Field	Value
Entity Type	Individual
Organization	Robert Lewis
Address	9776 W State St
City	Star
State	ID
ZIP	83669
Taxonomy	General Practice Dentistry
NPI Enumerated	July 25, 2007

Payer Source	Total Paid
Medicaid	$368.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,200	$80	$169.6K
D1120	Prophylaxis–child	1,920	$60	$117K
D2392	Post 2 surface resin‑based composite	980	$60	$59.9K
D0330	N/A	270	$30	$9K
D2391	Resin‑based composite – one surface, posterior	220	$30	$7.2K
D0150	Comprehensive oral evaluation – new or established patient	280	$10	$2.3K
D0140	Limited oral evaluation – problem focused	130	$20	$1.9K
D0210	Intraoral - complete series of radiographic images	10	$120	$1.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	40	$20	$580
D0120	Periodic oral evaluation - established patient	3,570	$0	$0

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Robert Lewis — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	46	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	40	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	65	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	112	120	140	$120	$66K
D0330	N/A	70	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	95	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	77	140	270	$40	$27.9K
D0150	Comprehensive oral evaluation – new or established patient	96	220	220	$30	$21.2K
D0140	Limited oral evaluation – problem focused	120	200	190	$20	$10.7K
D1351	Sealant - per tooth	108	120	640	$1	$10.3K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Star Speech And Occupational Therapy LLC	ID	Speech-Language Pathologist	$0	$2.5M
Allied Mental Health Services, P.L.L.C.	ID	Community/Behavioral Health Agency	$0	$1.2M
Clayton Shaw	ID	Physical Therapist	$71.2K	$0
Leslie Leet	ID	Clinical Social Worker	$46.3K	$12.4K
Jeffrey Graviet	ID	Optometrist	$30.5K	$0
Linda Haney	ID	Family Medicine Physician	$19.6K	$0
Jeremy Boethin	ID	Chiropractor	$10.5K	$0

Robert Lewis — Billing Profile & Reimbursement Data

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Robert Lewis — 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