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

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

Scenic Bluffs Health Center, Inc (NPI 1124270178)

Field	Value
Entity Type	Organization
Organization	Scenic Bluffs Health Center, Inc
Address	238 Front St
City	Cashton
State	WI
ZIP	54619
Taxonomy	Dental Clinic/Center
NPI Enumerated	October 21, 2008

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	57,130	$200	$11.7M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	10,410	$1	$20.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	17,590	$1	$17.6K
D1120	Prophylaxis–child	7,750	$1	$7.8K
D2391	Resin‑based composite – one surface, posterior	1,940	$1	$7.7K
D0140	Limited oral evaluation – problem focused	6,540	$1	$6.5K
D2392	Post 2 surface resin‑based composite	2,930	$1	$5.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,260	$1	$2.3K
D2150	Amalgam - two surfaces, primary or permanent	20	$40	$560
D9230	N/A	180	$1	$530

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Scenic Bluffs Health Center, Inc — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	60	4,880	$230	$4.9M
D2930	N/A	69	80	410	$150	$427.7K
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…	123	120	490	$100	$179.5K
D2392	Post 2 surface resin‑based composite	47	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	49	220	430	$50	$111.4K
D1351	Sealant - per tooth	50	340	1,020	$20	$90.2K
D9248	N/A	11	10	390	$110	$89.8K
D2393	Resin-based composite, three surfaces, posterior	92	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	46	240	300	$50	$71.8K
D1120	Prophylaxis–child	37	520	460	$30	$62.6K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Scenic Bluffs Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scenic Bluffs Health Center, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$1.2M
Karyn Cecele	WI	Family Medicine Physician	$63K	$0
Mark Heberlein	WI	Family Medicine Physician	$5.5K	$0

Scenic Bluffs Health Center, Inc — Billing Profile & Reimbursement Data

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Scenic Bluffs Health Center, Inc — 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

Frequently Asked Questions

References