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.

Robert Wagoner (NPI 1740368935)

Field	Value
Entity Type	Individual
Organization	Robert Wagoner
Address	801 N. Elm Street
City	Henderson
State	KY
ZIP	42420
Taxonomy	Oral & Maxillofacial Surgery (D.M.D.)
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	11,410	$110	$1.2M
D7230	N/A	4,090	$180	$731.2K
D7240	N/A	3,220	$210	$685.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,050	$60	$430.1K
D9243	N/A	3,780	$110	$415.8K
D0150	Comprehensive oral evaluation – new or established patient	6,000	$50	$294.2K
D0330	N/A	5,790	$50	$277.9K
D9239	N/A	1,820	$110	$198.3K
D7310	N/A	1,040	$190	$192.6K
D9223	N/A	1,960	$80	$156.4K

Showing 1–10 of 12

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

Robert Wagoner — 6 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	12	70	620	$210	$354.3K
D9223	N/A	24	70	1,230	$100	$187.8K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	6	230	350	$100	$162.2K
D7310	N/A	3	20	230	$160	$134K
D9222	N/A	33	70	500	$90	$95.3K
D7230	N/A	2	40	200	$170	$93.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	24	520	560	$50	$85.2K
D9243	N/A	1	20	190	$120	$83.3K
D0150	Comprehensive oral evaluation – new or established patient	77	1,010	740	$30	$61.4K
D0330	N/A	25	840	420	$40	$52.4K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Methodist Health, Inc.	KY	General Acute Care Hospital	$0	$51M
Lighthouse Counseling Services, Inc.	KY	Mental Health Counselor	$0	$12.1M
Stability Counseling And Associates LLC	KY	Mental Health Counselor	$0	$6.5M
Brad T Fulkerson, Dmd,msd,llc	KY	Pediatric Dentistry	$0	$3.6M
Community Alternatives Kentucky, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$3.3M
Hugh E Sandefur Ind Inc	KY	Contractor	$0	$3.1M
Jason Fogg	KY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$1.2M	$0
James Fellows	KY	Urology Physician	$192.2K	$137.8K
Anthony Perkins	KY	Diagnostic Radiology Physician	$259K	$0
Michael Roof	KY	Family Medicine Physician	$226.9K	$0

Robert Wagoner — Billing Profile & Reimbursement Data

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Robert Wagoner — 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