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

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

Md Consultants (NPI 1750767240)

Field	Value
Entity Type	Organization
Organization	Md Consultants
Address	33 Bartlett St
City	Lowell
State	MA
ZIP	01852
Taxonomy	Dental Clinic/Center
NPI Enumerated	August 6, 2015

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	43,420	$50	$2.1M
D2930	N/A	6,730	$180	$1.2M
D0120	Periodic oral evaluation - established patient	38,000	$30	$1.1M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	32,780	$20	$786.7K
D1351	Sealant - per tooth	20,310	$40	$751.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,580	$90	$681.8K
D0150	Comprehensive oral evaluation – new or established patient	10,340	$60	$579K
D2392	Post 2 surface resin‑based composite	5,420	$100	$552.3K
D0272	N/A	17,910	$30	$483.5K
D0330	N/A	6,780	$70	$454.5K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Md Consultants — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	90	830	$180	$325.7K
D1120	Prophylaxis–child	2	1,050	470	$50	$119.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	319	1,480	900	$50	$118.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	22	440	410	$70	$115.7K
D2392	Post 2 surface resin‑based composite	46	780	420	$80	$109.6K
D1351	Sealant - per tooth	11	450	490	$40	$101.3K
D2391	Resin‑based composite – one surface, posterior	92	660	340	$60	$84.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	13	690	460	$30	$81.1K
D0120	Periodic oral evaluation - established patient	12	1,510	980	$20	$78.6K
D9945	N/A	7	10	120	$290	$65.3K

Showing 1–10 of 32

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas A. Thom Clinic, Inc.	MA	Developmental Disabilities Clinic/Center	$0	$132.9M
Lowell Community Health Center, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$86.8M
Bridgewell, Inc	MA	Community/Behavioral Health Agency	$0	$43.3M
Lowell House, Inc.	MA	Community/Behavioral Health Agency	$0	$20.7M
Tufts Medicine Care At Home, Inc.	MA	Community Based Hospice Care Agency	$0	$11.9M
Merrimack Valley Oral Surgeons, Inc.	MA	Oral and Maxillofacial Surgery (Dentist)	$0	$10.6M
Accucare, Inc.	MA	Home Health Agency	$0	$8.9M
Home Away From Home	MA	Adult Day Care Clinic/Center	$0	$7.4M
Trinity Care Associate	MA	Multi-Specialty Clinic/Center	$0	$7.2M
Bio-medical Applications Of Massachusetts, Inc.	MA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M

Md Consultants — Billing Profile & Reimbursement Data

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Md Consultants — 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