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

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

James Crews Ii (NPI 1689779571)

Field	Value
Entity Type	Individual
Organization	James Crews Ii
Address	2200 E Parrish Ave Ste 202c
City	Owensboro
State	KY
ZIP	42303
Taxonomy	Pediatric Dentistry
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	24,710	$50	$1.3M
D0150	Comprehensive oral evaluation – new or established patient	17,120	$30	$462.2K
D1208	Topical application of fluoride - excluding varnish	26,460	$20	$396.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,710	$50	$185.6K
D2392	Post 2 surface resin‑based composite	2,890	$60	$179.1K
D2391	Resin‑based composite – one surface, posterior	2,420	$50	$118.4K
D0272	N/A	6,370	$20	$114.7K
D0330	N/A	2,110	$40	$90.6K
D0120	Periodic oral evaluation - established patient	3,220	$20	$77.2K
D9230	N/A	2,130	$40	$74.4K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

James Crews Ii — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	132	160	610	$110	$228.6K
D1120	Prophylaxis–child	13	770	500	$50	$127.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	301	520	560	$50	$85.2K
D2392	Post 2 surface resin‑based composite	70	630	420	$60	$74.5K
D0150	Comprehensive oral evaluation – new or established patient	16	1,010	740	$30	$61.4K
D9230	N/A	52	240	440	$30	$54.2K
D0330	N/A	145	840	420	$40	$52.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	46	860	480	$40	$48K
D1351	Sealant - per tooth	73	320	480	$20	$47.1K
D2391	Resin‑based composite – one surface, posterior	38	540	240	$50	$42.7K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as James Crews Ii, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Owensboro Health Inc	KY	General Acute Care Hospital	$0	$148.8M
Green River District Home Health	KY	Early Intervention Provider Agency	$0	$22.1M
Wendell Foster's Campus For Developmental Disabilities	KY	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$19M
Puzzle Pieces, Inc.	KY	Community/Behavioral Health Agency	$0	$13.2M
Caretenders Vs Of Western Ky, LLC	KY	Home Health Agency	$0	$12.8M
Truenorth Treatment Center, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.8M
Community Alternatives Kentucky, Inc.	KY	Case Management Agency	$0	$9.5M
Owensboro Pediatrics LLC	KY	Pediatrics Physician	$0	$9.2M
Owensboro Health Medical Group, Inc	KY	Pediatrics Physician	$0	$7.4M
Green River District Health Dept	KY	Home Health Agency	$0	$7.2M

James Crews Ii — Billing Profile & Reimbursement Data

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James Crews Ii — 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