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.

Healthnet Of Rock County, Inc. (NPI 1205285699)

Field	Value
Entity Type	Organization
Organization	Healthnet Of Rock County, Inc.
Address	113 S Franklin St
City	Janesville
State	WI
ZIP	53548
Taxonomy	Dentist
NPI Enumerated	June 7, 2016

Payer Source	Total Paid
Medicaid	$1.8M
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
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30,150	$20	$482.3K
D0191	N/A	24,930	$10	$349K
D1351	Sealant - per tooth	15,900	$20	$334K
D2392	Post 2 surface resin‑based composite	1,720	$60	$106.8K
D0210	Intraoral - complete series of radiographic images	1,450	$60	$79.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,640	$50	$78.8K
D0150	Comprehensive oral evaluation – new or established patient	2,800	$20	$64.5K
D2391	Resin‑based composite – one surface, posterior	1,300	$50	$63.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,990	$30	$61.8K
D0140	Limited oral evaluation – problem focused	2,390	$20	$47.7K

Showing 1–10 of 24

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

Healthnet Of Rock County, Inc. — 2 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	65	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	63	220	430	$50	$111.4K
D1351	Sealant - per tooth	27	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	83	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	62	240	300	$50	$71.8K
D1120	Prophylaxis–child	160	520	460	$30	$62.6K
D0210	Intraoral - complete series of radiographic images	69	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	146	500	480	$20	$56K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	95	500	350	$30	$51.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	15	540	560	$10	$50.8K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Healthnet Of Rock County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health System Corporation	WI	General Acute Care Hospital	$0	$25.4M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Mercy Health System Corporation	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.1M
Mercy Assisted Care, Inc	WI	Durable Medical Equipment & Medical Supplies	$0	$4M
School District Of Janesville	WI	Local Education Agency (LEA)	$0	$3.7M
City Of Janesville	WI	Land Ambulance	$702.3K	$2.1M
Trivium LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Daleena Johnson	WI	Gerontology Nurse Practitioner	$160.5K	$285.1K
Imdad Ahmed	WI	Cardiovascular Disease Physician	$333.4K	$110
Shahid Shekhani	WI	Medical Oncology Physician	$200.7K	$0

Healthnet Of Rock County, Inc. — Billing Profile & Reimbursement Data

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Healthnet Of Rock County, 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

Nearby Providers

Frequently Asked Questions

References