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

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

Osp Spokane PLLC (NPI 1881015220)

Field	Value
Entity Type	Organization
Organization	Osp Spokane PLLC
Address	123 W Francis Ave
City	Spokane
State	WA
ZIP	99205
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	January 3, 2014

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

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	22,600	$160	$3.5M
D9223	N/A	10,660	$150	$1.6M
D9222	N/A	9,260	$80	$777.8K
D7230	N/A	3,540	$140	$485K
D9610	N/A	10,110	$40	$404.3K
D0150	Comprehensive oral evaluation – new or established patient	9,670	$40	$348.2K
D0330	N/A	3,230	$40	$135.7K
D9630	N/A	5,230	$10	$73.2K
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…	470	$80	$38.7K
D1999	N/A	920	$10	$11.9K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Osp Spokane PLLC — 4 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9223	N/A	7	90	750	$280	$893.8K
D7240	N/A	2	70	990	$150	$409.8K
D9222	N/A	5	90	700	$80	$229.2K
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…	82	190	320	$70	$197.1K
D7230	N/A	4	50	340	$130	$132.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	364	390	640	$50	$98.8K
D9610	N/A	2	30	850	$40	$89.1K
D9630	N/A	8	90	400	$40	$88.5K
D0150	Comprehensive oral evaluation – new or established patient	21	710	600	$30	$65.7K
D9230	N/A	216	320	630	$20	$61.2K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Osp Spokane PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$17.4M
Pioneer Human Services	WA	Substance Abuse Rehabilitation Facility	$0	$15.5M
Spokane Treatment And Recovery Services	WA	Addiction (Substance Use Disorder) Counselor	$0	$10.8M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.3M
Revive Counseling Spokane, PLLC	WA	Community/Behavioral Health Agency	$0	$8.2M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.1M
Acceleration Physical Therapy	WA	Physical Therapist	$0	$3.1M
Ryan Stern	WA	Physical Therapist	$131.4K	$0
Mirko Zugec	WA	Family Medicine Physician	$109.1K	$0
Cory Jensen	WA	Optometrist	$88.5K	$2.9K

Osp Spokane PLLC — Billing Profile & Reimbursement Data

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Osp Spokane PLLC — 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