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

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

North Alabama Oral And Facial Surgery LLC (NPI 1700273208)

Field	Value
Entity Type	Organization
Organization	North Alabama Oral And Facial Surgery LLC
Address	44 Hughes Rd
City	Madison
State	AL
ZIP	35758
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	April 22, 2015

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	3,540	$210	$747.6K
D9223	N/A	3,710	$110	$415K
D9222	N/A	2,910	$130	$387.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	1,330	$80	$99.4K
D9310	N/A	580	$80	$44.5K
D7230	N/A	190	$170	$32.2K
D0140	Limited oral evaluation – problem focused	630	$30	$15.8K
D1999	N/A	1,280	$10	$11.5K
D0150	Comprehensive oral evaluation – new or established patient	190	$30	$5.3K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	30	$50	$1.4K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

North Alabama Oral And Facial Surgery LLC — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	12	60	610	$180	$336.5K
D7230	N/A	19	30	310	$160	$263.3K
D9222	N/A	9	50	430	$120	$172.6K
D9223	N/A	6	50	520	$90	$133K
D1999	N/A	151	300	1,280	$20	$81.5K
D0330	N/A	358	390	410	$40	$61.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	60	660	80	$50	$26.8K
D0140	Limited oral evaluation – problem focused	98	270	320	$30	$24.9K
D0150	Comprehensive oral evaluation – new or established patient	207	380	250	$20	$21.5K
D9310	N/A	2	10	80	$50	$11.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as North Alabama Oral And Facial Surgery LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Samaritan Hospice Of Madison Inc.	AL	Community Based Hospice Care Agency	$0	$5.2M
Integrated Behavioral Health, Inc.	AL	Psychiatry Physician	$0	$4.1M
Cornerstone Pediatrics, P.C	AL	Pediatrics Physician	$0	$3.9M
Brightstarts Pediatrics PC	AL	Clinic/Center	$0	$3.6M
Singing River Dentistry Treehouse, LLC	AL	Pediatric Dentistry	$0	$2.2M
Joseph Dai	AL	Dermatology Physician	$1.6M	$0
Madison Valley Pediatrics	AL	Pediatrics Physician	$0	$1.4M
Angelo Mancuso	AL	Procedural Dermatology Physician	$1.3M	$0
Vernon Forrester	AL	MOHS-Micrographic Surgery Physician	$1.3M	$0
Sarah M. Withrow, Dmd LLC	AL	Dentist	$0	$1.2M

North Alabama Oral And Facial Surgery LLC — Billing Profile & Reimbursement Data

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North Alabama Oral And Facial Surgery LLC — 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