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

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

Edison Lakes Oral Surgery, P.C. (NPI 1881887065)

Field	Value
Entity Type	Organization
Organization	Edison Lakes Oral Surgery, P.C.
Address	3367 Douglas Rd
City	South Bend
State	IN
ZIP	46635
Taxonomy	Oral and Maxillofacial Surgery Clinic/Center
NPI Enumerated	August 22, 2007

Payer Source	Total Paid
Medicaid	$5.1M
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
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…	17,270	$170	$2.8M
D7240	N/A	3,700	$300	$1.1M
D9243	N/A	3,740	$70	$265.3K
D7230	N/A	990	$230	$231.2K
D9239	N/A	2,350	$70	$174K
D0140	Limited oral evaluation – problem focused	4,350	$40	$169.8K
D7310	N/A	770	$190	$147.6K
D9223	N/A	870	$50	$47K
D0330	N/A	960	$50	$45K
D9222	N/A	760	$60	$42.5K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Edison Lakes Oral Surgery, P.C. — 3 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	5	80	530	$270	$360.3K
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…	4	350	410	$150	$251K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	212	540	460	$70	$106.9K
D9243	N/A	10	70	610	$60	$102.3K
D7230	N/A	7	50	90	$210	$101.3K
D7310	N/A	5	30	170	$170	$96.6K
D9239	N/A	8	60	350	$60	$58.6K
D9223	N/A	7	20	780	$60	$51.6K
D0330	N/A	199	800	260	$40	$36.6K
D0140	Limited oral evaluation – problem focused	35	900	380	$30	$32.6K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Edison Lakes Oral Surgery, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alick's Home Medical Equipment, Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$22.5M
Children's Therapy Innovations Inc.	IN	Intellectual Disabilities Intermediate Care Facility	$0	$12.9M
South Bend Medical Foundation, Inc	IN	Anatomic Pathology & Clinical Pathology Physician	$427.6K	$5.8M
North Point Pediatric Dentistry	IN	Dental Clinic/Center	$0	$4.1M
Transcend Orthotics & Prosthetics, LLC	IN	Prosthetic/Orthotic Supplier	$0	$3.2M
Allied Physicians Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$2.8M	$125.7K
South Bend In Endoscopy Asc LLC	IN	Ambulatory Surgical Clinic/Center	$843.2K	$219.9K
Robert Lee	IN	Ophthalmology Physician	$1M	$0
Jeffrey Yergler	IN	Orthopaedic Surgery Physician	$405K	$0
Douglas Liepert	IN	Sleep Medicine (Otolaryngology) Physician	$392K	$0

Edison Lakes Oral Surgery, P.C. — Billing Profile & Reimbursement Data

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Edison Lakes Oral Surgery, P.C. — Billing Profile & Reimbursement Data

Sign up for Edison Lakes Oral Surgery, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References