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.

Nicolet Derose (NPI 1194892166)

Field	Value
Entity Type	Individual
Organization	Nicolet Derose
Address	316 5th St
City	Racine
State	WI
ZIP	53403
Taxonomy	Pediatric Dentistry
NPI Enumerated	November 29, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	8,450	$30	$278.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	12,210	$20	$232K
D8670	N/A	2,250	$80	$184.4K
D0120	Periodic oral evaluation - established patient	6,730	$20	$161.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,750	$40	$153.9K
D2930	N/A	1,220	$120	$149.4K
D0330	N/A	2,280	$60	$136.8K
D0150	Comprehensive oral evaluation – new or established patient	3,030	$40	$106.1K
D2392	Post 2 surface resin‑based composite	1,300	$80	$101.1K
D1351	Sealant - per tooth	2,520	$20	$55.4K

Showing 1–10 of 19

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

Nicolet Derose — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	35	80	2,010	$110	$635.7K
D2930	N/A	31	80	410	$150	$427.7K
D2392	Post 2 surface resin‑based composite	82	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	113	220	430	$50	$111.4K
D1351	Sealant - per tooth	113	340	1,020	$20	$90.2K
D9248	N/A	8	10	390	$110	$89.8K
D2391	Resin‑based composite – one surface, posterior	171	240	300	$50	$71.8K
D1120	Prophylaxis–child	32	520	460	$30	$62.6K
D0120	Periodic oral evaluation - established patient	56	500	480	$20	$56K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	62	500	350	$30	$51.5K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Racine County Ccs	WI	Community/Behavioral Health Agency	$0	$16.8M
Racine County Human Services Department	WI	Community/Behavioral Health Agency	$0	$7.1M
City Of Racine	WI	Land Ambulance	$397.8K	$4.8M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$3.3M
Racine County Human Services Department	WI	Community/Behavioral Health Agency	$0	$2.8M
Racine County Opportunity Center, Inc.	WI	Voluntary or Charitable Agency	$0	$1.5M
Village Of Mount Pleasant	WI	Land Ambulance	$332.4K	$767.3K
Kimberly Schwerdtfeger	WI	Nurse Practitioner	$151.3K	$0
Deborah Cohen-smith	WI	Clinical Psychologist	$21.4K	$0
Lakeview Pharmacy In Racine Sc	WI	Community/Retail Pharmacy	$7.3K	$0

Nicolet Derose — Billing Profile & Reimbursement Data

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Nicolet Derose — 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