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

Why is the Medicaid comparison limited to Nebraska 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. Nebraska (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 Pietro (NPI 1699847608)

Field	Value
Entity Type	Individual
Organization	James Pietro
Address	625 N 144th Ave
City	Omaha
State	NE
ZIP	68154
Taxonomy	Dentist
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicaid	$223.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9420	N/A	900	$80	$73.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,490	$30	$49.2K
D0120	Periodic oral evaluation - established patient	1,250	$20	$27.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,020	$20	$21.4K
D2150	Amalgam - two surfaces, primary or permanent	310	$60	$17.3K
D0272	N/A	1,100	$10	$14.2K
D0230	Intraoral - periapical each additional radiographic image	2,580	$10	$12.9K
D0220	Intraoral - periapical first radiographic image	970	$10	$5.8K
D2140	Amalgam - one surface, primary or permanent	20	$40	$700
D1999	N/A	50	$10	$450

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

James Pietro — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	112	320	460	$20	$62.2K
D0120	Periodic oral evaluation - established patient	114	400	430	$20	$44.3K
D9420	N/A	5	30	190	$80	$35.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	49	310	220	$40	$28.1K
D1999	N/A	220	270	450	$10	$17.9K
D0272	N/A	46	210	210	$10	$17.7K
D2150	Amalgam - two surfaces, primary or permanent	6	20	90	$60	$15.7K
D0230	Intraoral - periapical each additional radiographic image	29	140	540	$1	$12.7K
D0220	Intraoral - periapical first radiographic image	71	210	260	$10	$8.6K
D2140	Amalgam - one surface, primary or permanent	12	10	40	$50	$8.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kubat Pharmacy, LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$4.1M
William Thomas	NE	Ophthalmology Physician	$2.7M	$0
Omega Surgery Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.7M	$359.6K
Aria Eye Care, LLC	NE	Optometrist	$0	$2M
Diagnostic Radiology PC	NE	Diagnostic Radiology Physician	$0	$1.6M
Senior Vision Services LLC	NE	Optometrist	$0	$1.5M
Maxability Therapy Services, P.C.	NE	Speech-Language Pathologist	$0	$1.3M
Cord Where Science Meets Connection LLC	NE	Mental Health Counselor	$0	$1.1M
Verve Collaborative Health LLC	NE	Psychiatric/Mental Health Nurse Practitioner	$0	$804.3K
Miracle Hills Surgery Center LLC	NE	Ambulatory Surgical Clinic/Center	$719K	$56.8K

James Pietro — Billing Profile & Reimbursement Data

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James Pietro — 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