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

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

Yadira Cardona-rohena (NPI 1790834083)

Field	Value
Entity Type	Individual
Organization	Yadira Cardona-rohena
Address	4285 Jim Moore Rd
City	Dacula
State	GA
ZIP	30019
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused practice: there is no Medicare billing on file and total Medicaid revenue is $10.2M, indicating near-exclusive reliance on Medicaid as the payer source in the dataset. The absence of Medicare activity makes this provider functionally single‑payer in the available claims data, which should be considered when assessing payer risk and network participation strategies.

Revenue is highly concentrated in a very small set of procedures: the precomputed top three Medicaid codes (D7240, D9243, D7210) account for 78.2% of this provider's Medicaid revenue. That concentration suggests most of the practice’s financial performance is driven by a narrow set of procedure lines rather than a broad mix of low‑revenue services.

The code mix and descriptions point to an oral and maxillofacial surgery operational profile dominated by surgical extractions and procedure‑intensive care. D7210 (extraction requiring removal of bone and/or sectioning of tooth) alone accounts for 15.2K claims at $124 avg paid/claim and $1.9M revenue (18.4% of Medicaid revenue), and the large volumes for D7240 (17.7K claims, $227 avg, $4M revenue) and D9243 (12K claims, $174 avg, $2.1M revenue) align with a practice performing high volumes of operative dental procedures rather than primarily evaluation or restorative services.

The provider is a statewide dominant performer for multiple high‑value codes. D7240 ranks #1 of 9 providers in-state (100th percentile) and D9243 ranks #1 of 12 providers (100th percentile) and is labeled an extreme outlier; D7210 similarly ranks #1 of 20 providers (100th percentile) and is an extreme outlier. These rank positions indicate the practice is a major competitor in Georgia for the specific procedures driving its revenue, not just a routine participant.

Several codes that represent lower‑reimbursement or diagnostic services (D0330 and D0140) appear in high claim counts but contribute relatively little revenue: D0330 is 9.5K claims and $293.6K revenue (2.9% of Medicaid revenue) and ranks #2 of 86 providers (99th percentile), while D0140 is 13K claims and $286.2K revenue (2.8% of Medicaid revenue) and ranks #2 of 91 providers (99th percentile). This pattern—very high procedure counts for some diagnostic/evaluation codes but low revenue share—supports the interpretation that the business model is procedure‑centric with diagnostics serving high throughput of procedural cases.

The practice’s average paid/claim levels for its top procedures are modest on a per‑claim basis but are amplified by very large claim volumes. For example, D7240 pays $227 avg/claim (17.7K claims, $4M revenue), D9243 pays $174 avg/claim (12K claims, $2.1M revenue), and D7210 pays $124 avg/claim (15.2K claims, $1.9M revenue). These figures show revenue is driven more by procedural volume than high per‑case reimbursement, which has implications for capacity, scheduling and upstream referral patterns.

Given the high concentration in a few codes and the repeated characterization of the provider as an extreme outlier or notably above typical volume for several leading codes, this provider faces both competitive advantage and operational concentration risk. Their leadership position (multiple #1 ranks and 100th‑percentile placements) suggests strong market share for select oral/maxillofacial procedures in Georgia, but dependence on a small set of high‑volume codes could make revenue sensitive to Medicaid policy or coding changes affecting those procedures.

Tenure in the enrollment file is long: the NPI was enumerated on 2007-01-09 (~19 years ago), indicating an established presence in the market. That longevity combined with the provider’s high statewide ranks for core procedure codes suggests a sustained specialty practice that has maintained high procedural volume over many years.

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
D7240	N/A	17,750	$230	$4M
D9243	N/A	12,020	$170	$2.1M
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…	15,170	$120	$1.9M
D9239	N/A	11,670	$80	$957.3K
D7230	N/A	3,250	$180	$577.6K
D0330	N/A	9,470	$30	$293.6K
D0140	Limited oral evaluation – problem focused	13,010	$20	$286.2K
D7220	N/A	620	$130	$78.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	300	$60	$17.5K
D7280	N/A	50	$190	$10K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Yadira Cardona-rohena — 9 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	1	10	580	$240	$1M
D9243	N/A	1	10	300	$180	$261.9K
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…	1	20	220	$120	$236.9K
D7230	N/A	1	10	420	$190	$235.3K
D9239	N/A	1	10	110	$80	$109.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	30	70	240	$70	$85.9K
D0330	N/A	2	90	210	$40	$66.9K
D0140	Limited oral evaluation – problem focused	2	90	190	$30	$36.7K
D7220	N/A	1	10	200	$130	$36.1K
D7280	N/A	2	10	60	$200	$12.3K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Yadira Cardona-rohena, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ebot Manga	GA	Family Nurse Practitioner	$2.7M	$0
Therapy Solutions Of Georgia, Inc.	GA	Speech-Language Pathologist	$0	$2.7M
Hamilton Mill Medical Services, Inc.	GA	Home Health Agency	$0	$2.5M
Andrew Dold	GA	Infectious Disease Physician	$328.8K	$0
David Cuna	GA	Clinical Social Worker	$0	$302K
Christine Shaheen-ball	GA	Mental Health Counselor	$0	$285K
Sam Kwon	GA	Pediatric Dentistry	$0	$186.3K
Thomas Jackson	GA	Physical Therapist	$124.3K	$0
Rami Arfoosh	GA	Pulmonary Disease Physician	$100.8K	$0
Aliya Matthews	GA	Podiatrist	$63.2K	$0

Yadira Cardona-rohena — Billing Profile & Reimbursement Data

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Yadira Cardona-rohena — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References