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

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

Ronald Townsend (NPI 1154661411)

Field	Value
Entity Type	Individual
Organization	Ronald Townsend
Address	450-452 E 75th St
City	Chicago
State	IL
ZIP	60619
Taxonomy	Dentist
NPI Enumerated	February 25, 2013

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	4,260	$160	$663.9K
D1120	Prophylaxis–child	8,660	$40	$354.9K
D0120	Periodic oral evaluation - established patient	11,550	$30	$323.4K
D1351	Sealant - per tooth	3,560	$70	$245.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,370	$50	$241.8K
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…	2,900	$80	$231.9K
D1208	Topical application of fluoride - excluding varnish	8,350	$30	$217.1K
D0274	N/A	10,500	$20	$199.6K
D2392	Post 2 surface resin‑based composite	2,890	$70	$193.5K
D0230	Intraoral - periapical each additional radiographic image	22,310	$10	$178.4K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Ronald Townsend — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	132	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	140	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	6	510	230	$160	$83.3K
D2750	Crown - porcelain fused to high noble metal	15	30	80	$320	$67.9K
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…	22	490	160	$100	$64.4K
D0120	Periodic oral evaluation - established patient	82	2,170	1,010	$30	$64.3K
D3220	N/A	104	110	120	$80	$50.6K
D1208	Topical application of fluoride - excluding varnish	68	1,480	700	$20	$45.2K
D2392	Post 2 surface resin‑based composite	62	1,300	290	$60	$44K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	277	980	190	$60	$40.4K

Showing 1–10 of 32

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nuway Community Services Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$42.3K	$6M
Renewed Hope Community Services Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$68.2K	$4.9M
Karen Nash	IL	Dentist	$0	$3.7M
Drexel Counseling Services, Inc.	IL	Methadone Clinic	$136.7K	$3.2M
Johnny Parker	IL	Primary Podiatric Medicine Podiatrist	$40.5K	$156.7K
Lorna Walters	IL	Podiatrist	$37.6K	$90.6K
Jeremy Cowan	IL	Foot & Ankle Surgery Podiatrist	$54.9K	$2.2K
Sheldon Ceaser	IL	Internal Medicine Physician	$36.2K	$0
Christine Gallup	IL	Registered Dietitian	$18.5K	$0
Karen Brautigam	IL	Nurse Practitioner	$660	$0

Ronald Townsend — Billing Profile & Reimbursement Data

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Ronald Townsend — 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