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 Armed Forces Americas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Americas 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. Armed Forces Americas (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.

Kyle Crandall (NPI 1689168577)

NPI 1689168577 · Apo, AA · General Practice Dentistry

Kyle Crandall is a general practice dentistry provider located in Apo, Armed Forces Americas. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AA" is a US military postal designation for Armed Forces stationed in the Americas (outside the US and Canada) — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

NPI 1689168577 · Apo, AA · General Practice Dentistry

Provider details (source: NPPES NPI Registry)

Field	Value
Entity Type	Individual
Organization	Kyle Crandall
Address	2954 Carrington Rd
City	Apo
State	AA (Armed Forces Americas)
ZIP	79916
Taxonomy	General Practice Dentistry
NPI Enumerated	June 14, 2018

Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

Payer Source	Total Paid
Medicare	$0
Medicaid	$0

This provider shows Total Medicare revenue: none (no Medicare billing on file) and Total Medicaid revenue: $0, indicating a near-total absence from federal public-payer revenue streams. The profile lists the practice in APO, AA with taxonomy General Practice Dentistry, so the public claims datasets contain no billings for this NPI.

Both Medicare and Medicaid are effectively non-contributors to this provider’s payer mix — there is no Medicare presence and Medicaid revenue is recorded as $0. For any payer-mix calculations or modeling that rely on public-payor splits, this entity should be treated as outside those programs unless other non-public data are discovered.

The taxonomy listed is General Practice Dentistry, which aligns the entity with dental services rather than the medical procedures typically reimbursed by Medicare. The absence of Medicare billing is consistent with the general pattern that routine dental procedures are not a core Medicare revenue source, so the provider’s primary commercial exposure is likely in private dental plans or self-pay channels rather than federal programs.

The NPI was enumerated on 2018-06-14 (~8 years ago), so the provider has an established registration window in administrative files. Despite nearly eight years of enumeration, there remains no detectable Medicare or Medicaid billing on file, which suggests either a business model focused outside public payers or that billing occurs under a different NPI/organizational identifier.

Because there are no Medicare or Medicaid claims, this provider cannot be meaningfully ranked in national Medicare or in-state Medicaid competitive standings; it does not appear as a participant in those rosters based on the available data. Analysts seeking to compare market share or cost/performance against peers should not rely on Medicare/Medicaid benchmarks for this NPI.

The Top-25 CPT/HCPCS sections for both Medicare and Medicaid are empty for this provider (no codes listed), so code-level revenue concentration, top-procedure mix, and statistical outlier labeling cannot be performed using the public-payor files. Any analysis of revenue-driving codes, utilization mix, or concentration must instead come from private payer claims, dental benefits administrators, or provider-supplied records.

For practical analytic next steps, investigators should prioritize private/commercial dental claim sources, dental-specific plan data, or state dental program records when assessing this provider’s service lines, pricing, and competitive positioning; the public Medicare and Medicaid feeds show none and $0 and therefore will not reflect activity. This is especially important for contracting, network analysis, and utilization reviews tied to dental care delivery.

Standard public-payer performance metrics (utilization rates, allowed amounts, per-beneficiary costs) are not computable from Medicare/Medicaid feeds for this NPI because reported Medicare revenue is none and Medicaid revenue is $0. Any quality, utilization, or cost benchmarking will require alternative data sources or confirmation of billing under alternate NPIs or group affiliations.

Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

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

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0603	Antigen testing for a public health-related pathogen, including coronavirus (COVID-19), using a high throughput technique, per day	10	$0	$0

How this provider's Medicaid billing volume and revenue compare to other Armed Forces Americas providers billing the same CPT/HCPCS codes. Note: "AA" is a US military postal designation for Armed Forces stationed in the Americas (outside the US and Canada) — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

Full comparison — all codes billed, vs. Armed Forces Americas median

Kyle Crandall — Billing Profile & Reimbursement Data

Sign up for Kyle Crandall — Billing Profile & Reimbursement Data policy alerts

Kyle Crandall — Billing Profile & Reimbursement Data

Sign up for Kyle Crandall — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References