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

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

Sheldon Graves (NPI 1760482046)

Field	Value
Entity Type	Individual
Organization	Sheldon Graves
Address	4137 Kirby Pkwy
City	Memphis
State	TN
ZIP	38115
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 28, 2005
NPI Deactivated	March 21, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	5,660	$110	$628.1K
D1120	Prophylaxis–child	13,570	$30	$420.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	16,320	$20	$326.4K
D0120	Periodic oral evaluation - established patient	14,040	$20	$323K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,570	$60	$159.2K
D0272	N/A	8,780	$20	$149.2K
D0330	N/A	3,350	$40	$133.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,750	$40	$115.7K
D0150	Comprehensive oral evaluation – new or established patient	2,830	$30	$82K
D2391	Resin‑based composite – one surface, posterior	1,290	$60	$73.8K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Sheldon Graves — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	34	160	770	$110	$399.1K
D3220	N/A	50	110	610	$80	$167.4K
D1120	Prophylaxis–child	48	660	720	$30	$135.9K
D2392	Post 2 surface resin‑based composite	360	470	450	$70	$107K
D0120	Periodic oral evaluation - established patient	51	720	980	$20	$106.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	59	370	350	$60	$82.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	32	650	730	$20	$72.1K
D2391	Resin‑based composite – one surface, posterior	101	440	280	$60	$69.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	116	690	640	$40	$69.8K
D1351	Sealant - per tooth	83	310	500	$10	$63.6K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comforting Angels Home Care Services	TN	Home Health Agency	$0	$12.9M
Darsalud Community Center Inc	TN	General Practice Physician	$0	$12.4M
Co-med Health Care Services	TN	Home Health Agency	$0	$9.7M
My Faith Inc	TN	In Home Supportive Care Agency	$0	$7.5M
Best Nurses Inc	TN	Home Health Agency	$0	$6.7M
Good Hands Community Care LLC	TN	In Home Supportive Care Agency	$0	$5.3M
Victory Medical Equipment And Supplies, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$5M
Pediatric Partners Of Memphis, LLC	TN	Pediatrics Physician	$0	$4.5M
Newstart Family And Obstetrical Care, LLC	TN	Obstetrics Physician	$0	$3.4M
Jacob Stegeman	TN	Dentist	$0	$3.3M

Sheldon Graves — Billing Profile & Reimbursement Data

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Sheldon Graves — 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