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

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

Roy E. Paulson Jr PC (NPI 1821207036)

Field	Value
Entity Type	Organization
Organization	Roy E. Paulson Jr PC
Address	2805 Cedar Ave Ste A
City	Gillette
State	WY
ZIP	82718
Taxonomy	Pediatric Dentistry
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$80.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	720	$30	$24.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	740	$30	$21.5K
D0120	Periodic oral evaluation - established patient	320	$30	$10.1K
D1208	Topical application of fluoride - excluding varnish	410	$20	$6.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	140	$40	$6.3K
D0272	N/A	240	$20	$5.3K
D9230	N/A	220	$20	$4.3K
D1351	Sealant - per tooth	40	$30	$1.1K
D0330	N/A	10	$60	$720

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Roy E. Paulson Jr PC — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	27	30	200	$30	$64.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	26	100	130	$30	$46.4K
D1120	Prophylaxis–child	20	100	110	$30	$39.8K
D0120	Periodic oral evaluation - established patient	50	130	170	$30	$36.9K
D9230	N/A	12	20	360	$20	$35.9K
D0272	N/A	14	40	150	$20	$27.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	39	90	100	$50	$27.4K
D0330	N/A	34	40	70	$50	$20.6K
D1208	Topical application of fluoride - excluding varnish	7	20	100	$20	$6.7K

Nearby Providers

Other providers in the same ZIP code as Roy E. Paulson Jr PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sol Domus, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$8.8M
Wyoming Home Health Inc	WY	Home Health Agency	$0	$1.7M
Horng-chyi Lai	WY	Rheumatology Physician	$1.4M	$0
Heather Voigt	WY	Case Management Agency	$0	$926.8K
Atlas Therapy LLC	WY	Mental Health Counselor	$0	$755K
Andrea Snyder	WY	Case Manager/Care Coordinator	$0	$300.8K
Children's Developmental Services Of Campbell County	WY	Clinic/Center	$0	$281.3K
Meadowlark Counseling	WY	Psychologist	$0	$274.4K
Lukasz Kiljanek	WY	Nephrology Physician	$210.9K	$0
County Of Campbell	WY	Public Health or Welfare Agency	$11.4K	$194.4K

Roy E. Paulson Jr PC — Billing Profile & Reimbursement Data

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Roy E. Paulson Jr PC — 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