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

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

Thomas Hart (NPI 1356423115)

Field	Value
Entity Type	Individual
Organization	Thomas Hart
Address	655 N Linden St
City	Wahoo
State	NE
ZIP	68066
Taxonomy	General Practice Dentistry
NPI Enumerated	October 20, 2006

Payer Source	Total Paid
Medicaid	$252.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,810	$40	$65K
D0120	Periodic oral evaluation - established patient	2,030	$20	$48.8K
D0330	N/A	1,170	$30	$30.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	400	$80	$30.2K
D1999	N/A	2,440	$10	$22K
D0150	Comprehensive oral evaluation – new or established patient	690	$30	$17.2K
D1120	Prophylaxis–child	550	$30	$15.3K
D0210	Intraoral - complete series of radiographic images	180	$50	$8.4K
D0274	N/A	680	$10	$8.2K
D0140	Limited oral evaluation – problem focused	220	$30	$5.4K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Thomas Hart — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	285	320	460	$20	$62.2K
D1120	Prophylaxis–child	110	290	320	$30	$61K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	34	100	180	$60	$58.2K
D0120	Periodic oral evaluation - established patient	77	400	430	$20	$44.3K
D2391	Resin‑based composite – one surface, posterior	110	120	150	$60	$33.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	41	310	220	$40	$28.1K
D0210	Intraoral - complete series of radiographic images	62	130	160	$50	$26.8K
D1999	N/A	52	270	450	$10	$17.9K
D0272	N/A	179	210	210	$10	$17.7K
D0150	Comprehensive oral evaluation – new or established patient	61	240	190	$20	$16.3K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Thomas Hart, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.7M
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.2M
Good Neighbor Community Health Center	NE	Public Health or Welfare Agency	$0	$1.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saunders Medical Center	NE	Rural Health Clinic/Center	$0	$1.3M
Saunders Medical Center	NE	Critical Access Hospital	$0	$617.1K
Todd Tasich	NE	Physical Therapist	$155.6K	$0
City Of Wahoo	NE	Land Ambulance	$117.7K	$3.4K
Leah Schauer-emerson	NE	Physical Therapist	$88.5K	$0
Michael Spicka	NE	Physical Therapist	$75.7K	$0
Ricky Bussey	NE	Physical Therapist	$30.9K	$0

Thomas Hart — Billing Profile & Reimbursement Data

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Thomas Hart — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References