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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Jeffrey Higbee (NPI 1942565486)

Field	Value
Entity Type	Individual
Organization	Jeffrey Higbee
Address	21 Peace St
City	Providence
State	RI
ZIP	02907
Taxonomy	Pediatric Dentistry
NPI Enumerated	July 11, 2012

Payer Source	Total Paid
Medicaid	$968.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	4,990	$90	$464.4K
D0150	Comprehensive oral evaluation – new or established patient	930	$130	$118K
D1120	Prophylaxis–child	5,600	$10	$67.2K
D0272	N/A	4,040	$10	$52.6K
D9230	N/A	330	$140	$45K
D2150	Amalgam - two surfaces, primary or permanent	1,160	$40	$41.8K
D2392	Post 2 surface resin‑based composite	400	$90	$35.9K
D1351	Sealant - per tooth	1,210	$30	$31.5K
D0220	Intraoral - periapical first radiographic image	5,210	$10	$31.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,470	$10	$27.3K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Jeffrey Higbee — 3 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	20	160	710	$30	$91.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	25	150	800	$30	$81.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	84	100	510	$50	$65.4K
D2930	N/A	14	30	120	$130	$62.2K
D2392	Post 2 surface resin‑based composite	46	110	240	$60	$47.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	159	180	490	$20	$42.3K
D1351	Sealant - per tooth	37	90	670	$20	$41.4K
D0120	Periodic oral evaluation - established patient	29	210	930	$10	$38.1K
D1208	Topical application of fluoride - excluding varnish	96	100	290	$20	$32.1K
D9230	N/A	12	30	260	$30	$30.7K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jeffrey Higbee, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Terry Sorenson	UT	General Practice Dentistry	$0	$1.6M
Valley Pediatric Dental	NV	Pediatric Dentistry	$0	$1.3M
Trent Pryor	ID	Pediatric Dentistry	$0	$747.4K
Richfield Kids Dental, PLLC	UT	Pediatric Dentistry	$0	$576.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independence Health Services, LLC	RI	Home Health Agency	$0	$40.4M
Haigh Ventures, Inc	RI	Home Health Agency	$0	$28.9M
Elmwood Adult Day Health Care Center	RI	Adult Day Care Clinic/Center	$0	$13.8M
Abraham Home Care Provider LLC	RI	In Home Supportive Care Agency	$0	$11.7M
Jammat Housing And Community Development Corporation	RI	Mental Illness Community Based Residential Treatment Facility	$0	$8.7M
Saint Elizabeth Assisted Living, L.P.	RI	Assisted Living Facility	$0	$5M
Raising Hope, Inc	RI	Home Health Agency	$0	$4.9M
Susan Hart	RI	Addiction Medicine (Internal Medicine) Physician	$0	$3.9M
Victa LLC	RI	Addiction Medicine (Internal Medicine) Physician	$57.6K	$3.7M
Providence Physical Therapy Associates, Inc.	RI	Physical Therapy Clinic/Center	$0	$3.4M

Jeffrey Higbee — Billing Profile & Reimbursement Data

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Jeffrey Higbee — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References