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

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

Terry Gordon (NPI 1821058314)

Field	Value
Entity Type	Individual
Organization	Terry Gordon
Address	1225 Carlisle St Ste 1b
City	Hanover
State	PA
ZIP	17331
Taxonomy	Dentist
NPI Enumerated	March 27, 2006

Payer Source	Total Paid
Medicare	$23.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
21110	A provider applies an interdental fixation device to treat conditions like obstructive sleep apnea. In maxillary mandibular advancement, or MMA, surgery, or repositioning of the upper and lower jaws,…	30	$620	$19.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	20	$100	$2.4K
72052	In this diagnostic procedure, the provider performs six or more X–ray views of the cervical spine. The goal of this study is to examine the patient's spine for such conditions as abnormal curves,…	30	$40	$1.1K
70220	The provider performs X–ray examination of the paranasal sinuses by obtaining a minimum of three views. He performs the procedure for assessment of sinusitis.	30	$30	$630
70140	The provider performs a plain X–ray exam of the facial bones, fewer than three views, to determine if the patient has sustained facial fractures or some other abnormality. A Waters, or…	30	$20	$500

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Terry Gordon — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
21110	2	10	40	$550	$19.9K
99204	6,038	10,290	30	$110	$5K
72052	4	20	20	$20	$470
70140	1	10	30	$20	$420
70220	4	20	10	$20	$350

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Truenorth Wellness Services	PA	Community/Behavioral Health Agency	$0	$11.7M
Truenorth Wellness Services	PA	Community/Behavioral Health Agency	$0	$10.4M
Emergency Physician Associates Of Pennsylvania, PC	PA	Emergency Medicine Physician	$0	$9.8M
Pinnacle Treatment Centers Pa-vii, LLC	PA	Methadone Clinic	$73.3K	$5.7M
Joshua Shipley	PA	Hematology & Oncology Physician	$739.9K	$0
Hanover Surgicenter, L.L.C.	PA	Ambulatory Surgical Clinic/Center	$695.7K	$0
Zaher Srour	PA	Otolaryngic Allergy Physician	$626.3K	$0
Maseer Bade	PA	Vascular Surgery Physician	$343.6K	$0
Carl May	PA	Ophthalmology Physician	$336.3K	$0
York Adams Pain Specialists PC	PA	Ambulatory Surgical Clinic/Center	$299.1K	$0

Terry Gordon — Billing Profile & Reimbursement Data

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Terry Gordon — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References