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

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

Karen Rose (NPI 1194895268)

Field	Value
Entity Type	Individual
Organization	Karen Rose
Address	446a South New Street
City	Dover
State	DE
ZIP	19904
Taxonomy	Dentist
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$1.3M
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
D1354	N/A	8,960	$50	$403K
D1120	Prophylaxis–child	2,080	$50	$101.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,510	$30	$98.3K
D0120	Periodic oral evaluation - established patient	2,850	$30	$97K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,550	$60	$89.6K
D1351	Sealant - per tooth	1,910	$40	$74.5K
D2391	Resin‑based composite – one surface, posterior	410	$180	$72.9K
D2392	Post 2 surface resin‑based composite	290	$230	$64.9K
D0274	N/A	1,130	$50	$51.9K
D0140	Limited oral evaluation – problem focused	980	$50	$44.1K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Karen Rose — 1 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	52	90	490	$220	$366.3K
D2393	Resin-based composite, three surfaces, posterior	28	40	260	$270	$226.1K
D1351	Sealant - per tooth	33	70	1,690	$40	$217.1K
D2391	Resin‑based composite – one surface, posterior	33	70	320	$180	$192K
D1120	Prophylaxis–child	37	120	960	$50	$163.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	43	60	270	$140	$137K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	36	130	1,220	$30	$116.9K
D0120	Periodic oral evaluation - established patient	41	160	800	$40	$110.5K
D2150	Amalgam - two surfaces, primary or permanent	10	10	400	$160	$105.1K
D1354	N/A	1	20	530	$50	$84.2K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$37.9M
At Home Infucare, LLC	DE	Home Health Agency	$0	$28.5M
Amazing Home Care Agency	DE	Home Health Agency	$0	$18.7M
Dedicated To Women Ob-gyn, P.A.	DE	Obstetrics & Gynecology Physician	$0	$11.1M
Help At Home Of Delaware, LLC	DE	In Home Supportive Care Agency	$0	$10.7M
A Center For Mental Wellness, Inc.	DE	Mental Health Counselor	$0	$9.9M
State Of Delaware	DE	Case Management Agency	$0	$9.2M
West Dover Dental, LLC	DE	Dentist	$0	$9M
Americare Home Solutions	DE	In Home Supportive Care Agency	$0	$8.4M
Vicdania Health Services LLC	DE	Home Health Agency	$0	$7.4M

Karen Rose — Billing Profile & Reimbursement Data

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Karen Rose — 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