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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Jocelyn Friesen (NPI 1306362322)

NPI 1306362322 · N/a, ZZ · Dentist

Jocelyn Friesen is a dentist provider located in N/a, Unspecified Location. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "ZZ" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

NPI 1306362322 · N/a, ZZ · Dentist

Field	Value
Entity Type	Individual
Organization	Jocelyn Friesen
Address	N/a
City	N/a
State	ZZ (Unspecified Location)
ZIP	A1B2C
Taxonomy	Dentist
NPI Enumerated	August 22, 2017

Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

Payer Source	Total Paid
Medicaid	$650
Medicare	$0

This provider has no Medicare billing on file and a very small Medicaid footprint, with total reported Medicaid revenue of $646. The absence of Medicare revenue makes the provider effectively single-payer (Medicaid) in the available claims data, and the NPI has been enumerated since 2017-08-22 (~9 years ago).

Medicaid revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with D0120 representing 80.5% and D1208 representing 19.5% of Medicaid revenue. In absolute terms the Medicaid revenue is $646, so the practice’s Medicaid activity is both narrow in code mix and small in dollar scale.

The mix of billed codes (D0120 – Periodic oral evaluation and D1208 – Topical application of fluoride) indicates a focus on routine preventive dental care and examinations rather than specialty or procedure-heavy services. Activity counts of 26 claims for D0120 and 14 claims for D1208 reinforce that the provider’s Medicaid work consists primarily of basic preventive visits and topical fluoride applications.

For D0120 the provider ranks #4 of 5 in-state and is at the 25th percentile, which the source labels as "typical, unremarkable volume for this code." This ranking positions the provider as a modest participant in periodic oral evaluations within the state rather than a dominant or high-volume practitioner.

For D1208 the provider ranks #2 of 2 in-state and is at the 0th percentile, also described as "typical, unremarkable volume for this code." Despite being second among two listed providers, the percentile and label indicate limited relative activity for topical fluoride claims statewide.

The provider’s NPI tenure (~9 years since 2017-08-22) coupled with the low Medicaid claim and revenue totals suggests either limited participation in Medicaid, a small or part-time practice footprint, or that most revenue is derived from non-Medicare/non-Medicaid payers not shown in these data. This limited public payer footprint will constrain payer/provider analysts’ ability to infer broader practice size or specialty mix from Medicare/Medicaid claims alone.

Because Medicaid revenue is both minimal ($646) and concentrated in routine preventive codes, this provider represents a low-impact competitor in state Medicaid networks; the small, concentrated billing pattern will have minimal influence on statewide utilization benchmarks or network leverage. The lack of any Medicare billing further reduces the provider’s visibility in cross-payer comparative analyses.

Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

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

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	30	$20	$520
D1208	Topical application of fluoride - excluding varnish	10	$10	$130

How this provider's Medicaid billing volume and revenue compare to other Unspecified Location providers billing the same CPT/HCPCS codes. Note: "ZZ" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

Full comparison — all codes billed, vs. Unspecified Location median

Jocelyn Friesen — Billing Profile & Reimbursement Data

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Jocelyn Friesen — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0120	Periodic oral evaluation - established patient	4	10	40	$20	$1.4K
D1208	Topical application of fluoride - excluding varnish	2	10	100	$10	$1.3K