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

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

Nancy Mussetter (NPI 1255567442)

Field	Value
Entity Type	Individual
Organization	Nancy Mussetter
Address	2000 Carter Ave
City	Ashland
State	KY
ZIP	41101
Taxonomy	Dentist
NPI Enumerated	June 2, 2009

Payer Source	Total Paid
Medicaid	$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.

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	32,300	$50	$1.7M
D2930	N/A	7,520	$110	$857.2K
D0150	Comprehensive oral evaluation – new or established patient	25,200	$30	$680.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	35,360	$20	$530.4K
D2150	Amalgam - two surfaces, primary or permanent	7,090	$60	$439.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,280	$60	$422.4K
D0330	N/A	8,230	$50	$386.8K
D2392	Post 2 surface resin‑based composite	5,110	$70	$342.5K
D0272	N/A	18,830	$20	$339K
D3220	N/A	4,870	$60	$311.9K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Nancy Mussetter — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	9	160	610	$110	$228.6K
D1120	Prophylaxis–child	11	770	500	$50	$127.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	23	520	560	$50	$85.2K
D2392	Post 2 surface resin‑based composite	22	630	420	$60	$74.5K
D0150	Comprehensive oral evaluation – new or established patient	9	1,010	740	$30	$61.4K
D3220	N/A	5	100	280	$70	$56.8K
D9230	N/A	5	240	440	$30	$54.2K
D0330	N/A	16	840	420	$40	$52.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	74	860	480	$40	$48K
D1351	Sealant - per tooth	10	320	480	$20	$47.1K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashland Hospital Corporation	KY	General Acute Care Hospital	$0	$222.9M
Pathways, Inc.	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$95.4M
Pathways Inc	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$82.2M
A Brighter Future	KY	Community/Behavioral Health Agency	$0	$39.8M
A Center 4 Change	KY	Counseling Psychologist	$0	$22M
Fivco Add Cdo As Fiscal Agent	KY	Supports Brokerage Agency	$0	$21M
Our Lady Of Bellefonte Hospital Inc	KY	General Acute Care Hospital	$0	$12.1M
Advocate Medical Services, LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$10.6M
Ultimate Care Behavioral Health Services	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.6M
Wecare Medical, LLC	KY	Oxygen Equipment & Supplies (DME)	$0	$9.9M

Nancy Mussetter — Billing Profile & Reimbursement Data

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Nancy Mussetter — 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