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

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

Jill Johnson (NPI 1306232814)

Field	Value
Entity Type	Individual
Organization	Jill Johnson
Address	1600 Lost Creek Rd
City	Anaconda
State	MT
ZIP	59711
Taxonomy	Dental Hygienist
NPI Enumerated	April 10, 2015

Payer Source	Total Paid
Medicaid	$260.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9630	N/A	4,640	$20	$78.9K
D0190	N/A	3,210	$20	$73.8K
D0191	N/A	2,910	$20	$49.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,110	$20	$42.2K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	70	$170	$12.1K
D1208	Topical application of fluoride - excluding varnish	110	$20	$1.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	50	$40	$1.8K
D1320	N/A	10	$40	$460
D0350	N/A	660	$0	$0
D1330	N/A	110	$0	$0

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Jill Johnson — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1330	N/A	38	60	340	$20	$65.6K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	18	30	100	$140	$59.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	50	260	340	$20	$54.4K
D9920	N/A	21	30	140	$80	$52.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	225	270	310	$40	$44K
D0350	N/A	16	40	380	$30	$36.4K
D1354	N/A	15	30	240	$20	$36.3K
D9630	N/A	5	50	260	$20	$32.3K
D0190	N/A	3	20	220	$20	$28.8K
D1320	N/A	34	30	140	$30	$20.7K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aware Inc	MT	Community/Behavioral Health Agency	$0	$140.3M
Anaconda School District	MT	Local Education Agency (LEA)	$0	$1.5M
Community Hospital Of Anaconda	MT	Pediatric Adolescent Medicine Physician	$0	$1.4M
Leonard E. Vainio & David G. Vainio PC	MT	Optometrist	$0	$1.1M
Community Hospital Of Anaconda	MT	Family Medicine Physician	$0	$1.1M
Community Hospital Of Anaconda	MT	Critical Access Hospital	$0	$1.1M
Northwest Ehr Collaborative Inc.	MT	Internal Medicine Physician	$0	$982.6K
Pintler Health & Rehab, LLC	MT	Physical Therapist	$0	$614.4K
Anaconda Oxygen Service	MT	Durable Medical Equipment & Medical Supplies	$0	$542K
Lorena Craig	MT	Professional Counselor	$0	$286.2K

Jill Johnson — Billing Profile & Reimbursement Data

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Jill Johnson — 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