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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

David L. Merxbauer (NPI 1811307994)

Field	Value
Entity Type	Organization
Organization	David L. Merxbauer
Address	1021 Circle Dr
City	Aberdeen
State	SD
ZIP	57401
Taxonomy	Dentist
NPI Enumerated	April 29, 2014

Payer Source	Total Paid
Medicaid	$144.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	730	$50	$36.6K
D0120	Periodic oral evaluation - established patient	1,120	$30	$30.2K
D1120	Prophylaxis–child	530	$40	$19.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	820	$20	$18.1K
D2150	Amalgam - two surfaces, primary or permanent	170	$90	$14.8K
D0274	N/A	420	$30	$14K
D0150	Comprehensive oral evaluation – new or established patient	80	$40	$3.2K
D0140	Limited oral evaluation – problem focused	80	$40	$3.2K
D0220	Intraoral - periapical first radiographic image	200	$20	$3K
D0272	N/A	100	$30	$2.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

David L. Merxbauer — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	40	60	120	$140	$84.7K
D2150	Amalgam - two surfaces, primary or permanent	6	10	170	$100	$83.2K
D1120	Prophylaxis–child	46	140	150	$40	$59.7K
D0120	Periodic oral evaluation - established patient	38	180	320	$30	$50.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	49	160	270	$30	$50.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	27	140	200	$60	$41.2K
D0272	N/A	36	70	100	$30	$34.3K
D0150	Comprehensive oral evaluation – new or established patient	61	110	100	$60	$30.9K
D0220	Intraoral - periapical first radiographic image	36	90	130	$30	$30.6K
D0274	N/A	27	110	120	$40	$18.9K

Nearby Providers

Other providers in the same ZIP code as David L. Merxbauer, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adjustment Training Center, Inc.	SD	Developmentally Disabled Services Day Training Agency	$0	$40.3M
Northeastern Mental Health Center	SD	Mental Health Counselor	$0	$10.1M
Vision Care Associates, LLP	SD	Optometrist	$0	$6M
Sanford Health Network	SD	General Acute Care Hospital	$0	$4.4M
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Avera St. Luke's	SD	Family Medicine Physician	$0	$2.3M
Sanford Health Network	SD	General Acute Care Hospital	$0	$1.9M
Avera At Home	SD	Home Health Agency	$0	$1.6M
Avera St Lukes	SD	General Acute Care Hospital	$0	$1.5M
Ty Hanson	SD	Dermatology Physician	$1.2M	$0

David L. Merxbauer — Billing Profile & Reimbursement Data

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David L. Merxbauer — 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