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.

Grace Machi (NPI 1215084835)

Field	Value
Entity Type	Individual
Organization	Grace Machi
Address	20611 Watertown Rd
City	Waukesha
State	WI
ZIP	53186
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	January 4, 2007

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	40,300	$100	$3.9M
D8080	N/A	1,630	$780	$1.3M
D8660	N/A	1,780	$60	$105.1K
D0330	N/A	1,740	$40	$69.5K
D0340	N/A	1,760	$30	$52.7K
D0470	N/A	1,610	$30	$51.4K
D0350	N/A	1,620	$20	$38.9K

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

Grace Machi — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	3	80	2,010	$110	$635.7K
D8080	N/A	4	40	100	$950	$428.8K
D8660	N/A	5	40	300	$70	$50.6K
D0330	N/A	43	270	200	$40	$42.9K
D0340	N/A	5	40	330	$40	$29.3K
D0470	N/A	4	30	270	$40	$26.7K
D0350	N/A	9	40	330	$30	$23.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kci Usa, Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$4.8M
Oak Medical Sc	WI	Internal Medicine Physician	$0	$4M
Waukesha School District	WI	Local Education Agency (LEA)	$0	$3.3M
Lss Aspen Center LLC	WI	Substance Abuse Rehabilitation Facility	$0	$2.9M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$2.5M
Douglas Hempel	WI	Rheumatology Physician	$1.9M	$0
Lincare Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$1.6M
Matt Talbot Recovery Services, Inc	WI	Substance Abuse Rehabilitation Facility	$0	$1.3M
Mark Pearson	WI	Rheumatology Physician	$972.6K	$0
Carly Skamra	WI	Rheumatology Physician	$943.5K	$0

Grace Machi — Billing Profile & Reimbursement Data

Sign up for Grace Machi — Billing Profile & Reimbursement Data policy alerts

Grace Machi — Billing Profile & Reimbursement Data

Sign up for Grace Machi — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References