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

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

Nathan Hawley (NPI 1952607129)

Field	Value
Entity Type	Individual
Organization	Nathan Hawley
Address	107 Highland Dr
City	Papillion
State	NE
ZIP	68046
Taxonomy	Dentist
NPI Enumerated	February 4, 2011

Payer Source	Total Paid
Medicaid	$281.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8090	N/A	70	$3,570	$260.3K
D0340	N/A	130	$70	$8.8K
D0330	N/A	130	$40	$5.2K
D0470	N/A	90	$50	$4.4K
D0150	Comprehensive oral evaluation – new or established patient	130	$30	$3.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Nathan Hawley — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8090	N/A	6	10	100	$1,690	$381.1K
D0340	N/A	9	10	180	$40	$19K
D0150	Comprehensive oral evaluation – new or established patient	141	240	190	$20	$16.3K
D0330	N/A	97	170	200	$20	$13.7K
D0470	N/A	8	10	140	$50	$8.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegent Creighton Health	NE	General Acute Care Hospital	$0	$3M
Pediatric Therapy Center	NE	Pediatric Occupational Therapist	$0	$2.6M
Jane Bennett	NE	Pediatric Dentistry	$0	$2.6M
Timothy Huyck	NE	Internal Medicine Physician	$855.4K	$0
Alegent Creighton Health	NE	Community/Retail Pharmacy	$0	$822.1K
City Of Papillion	NE	Land Ambulance	$413.7K	$394.8K
Bellevue Oral And Maxillofacial Surgery LLC	NE	Dental Clinic/Center	$0	$684.5K
Ambi's Home Health Care, LLC	NE	Home Health Agency	$0	$661.3K
New Century Physicians Of Nebraska LLC	NE	Emergency Medicine Physician	$0	$460.2K
Barry Webber	NE	Pediatric Dentistry	$0	$363.7K

Nathan Hawley — Billing Profile & Reimbursement Data

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Nathan Hawley — 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