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

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

Douglas O'connor (NPI 1962535112)

Field	Value
Entity Type	Individual
Organization	Douglas O'connor
Address	104 Hillcrest Dr
City	Evergreen
State	AL
ZIP	36401
Taxonomy	Dentist
NPI Enumerated	March 14, 2007

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0240	N/A	10,930	$20	$196.7K
D2392	Post 2 surface resin‑based composite	1,990	$80	$159.2K
D1120	Prophylaxis–child	5,650	$30	$158.3K
D0120	Periodic oral evaluation - established patient	7,880	$20	$149.6K
D1208	Topical application of fluoride - excluding varnish	8,990	$10	$125.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,160	$40	$113.7K
D0330	N/A	2,170	$50	$104.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,370	$60	$76.5K
D0272	N/A	4,060	$20	$73.1K
D9230	N/A	3,360	$20	$70.6K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Douglas O'connor — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	85	120	1,240	$90	$233.9K
D2392	Post 2 surface resin‑based composite	78	280	520	$70	$144.9K
D1120	Prophylaxis–child	99	520	810	$30	$104.3K
D2391	Resin‑based composite – one surface, posterior	157	250	380	$60	$91.8K
D2393	Resin-based composite, three surfaces, posterior	37	90	170	$90	$78K
D0120	Periodic oral evaluation - established patient	97	620	810	$20	$77.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	62	190	490	$50	$76.2K
D0240	N/A	6	70	1,300	$20	$65.2K
D0330	N/A	86	390	410	$40	$61.2K
D1208	Topical application of fluoride - excluding varnish	75	540	970	$10	$60.1K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Douglas O'connor, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark A Roberts Md PC	AL	Family Medicine Physician	$0	$1M
Evergreen Medical Center LLC	AL	General Acute Care Hospital	$0	$937.2K
Star Of Life Systems, Inc.	AL	Land Ambulance	$242.4K	$472.8K
Mark Roberts	AL	Family Medicine Physician	$371.2K	$0
Stanley Barnes	AL	Family Medicine Physician	$217.4K	$0

Douglas O'connor — Billing Profile & Reimbursement Data

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Douglas O'connor — 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