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

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

Robert E. Mcalpine, D.m.d., P.C. (NPI 1982950044)

Field	Value
Entity Type	Organization
Organization	Robert E. Mcalpine, D.m.d., P.C.
Address	51101 Polaris Way
City	Kenai
State	AK
ZIP	99611
Taxonomy	Dental Clinic/Center
NPI Enumerated	July 26, 2012

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	12,430	$60	$758.2K
D2930	N/A	4,160	$180	$736.9K
D0120	Periodic oral evaluation - established patient	12,500	$50	$575K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	10,880	$30	$293.9K
D0274	N/A	5,030	$60	$286.6K
D0272	N/A	6,860	$40	$267.6K
D1351	Sealant - per tooth	4,160	$50	$191.4K
D2392	Post 2 surface resin‑based composite	1,020	$170	$169.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,810	$80	$143.2K
D2391	Resin‑based composite – one surface, posterior	1,100	$130	$140.5K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Robert E. Mcalpine, D.m.d., P.C. — 5 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	5	30	530	$160	$330.3K
D0140	Limited oral evaluation – problem focused	86	150	290	$220	$215.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8	160	510	$100	$212.9K
D1351	Sealant - per tooth	16	70	1,370	$50	$191.4K
D0220	Intraoral - periapical first radiographic image	27	160	300	$130	$181K
D0120	Periodic oral evaluation - established patient	2	190	390	$100	$141.4K
D2392	Post 2 surface resin‑based composite	21	110	220	$150	$126.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	29	50	440	$110	$116.9K
D1120	Prophylaxis–child	2	140	230	$70	$106.8K
D9248	N/A	5	10	450	$150	$87.8K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Robert E. Mcalpine, D.m.d., P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenaitze Indian Tribe	AK	Community/Behavioral Health Agency	$0	$41.4M
Kenaitze Indian Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$13.9M
Kenai Kids Therapy Inc	AK	Physical Therapist	$0	$11.7M
Aspen Creek Kenai LLC	AK	Assisted Living Facility	$0	$7.1M
Jac Enterprises, Inc.	AK	Assisted Living Facility	$0	$5.6M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$5M
Kenaitze Indian Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$3.2M
Peninsula Community Health Services Of Alaska, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$3M
R Lynn Carlson Md PC Medicenter	AK	Family Medicine Physician	$0	$2.1M
Occupational Rehabilitative Services Inc	AK	Occupational Therapist	$0	$1.7M

Robert E. Mcalpine, D.m.d., P.C. — Billing Profile & Reimbursement Data

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Robert E. Mcalpine, D.m.d., P.C. — 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