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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Winter Enterprises (NPI 1407935430)

Field	Value
Entity Type	Organization
Organization	Winter Enterprises
Address	1103 W. Sherman Ave
City	Vineland
State	NJ
ZIP	08360
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$17M
Medicare	$0

Medicaid: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2751	N/A	3,220	$550	$1.8M
D2392	Post 2 surface resin‑based composite	16,520	$70	$1.1M
D1120	Prophylaxis–child	38,150	$30	$1M
D0120	Periodic oral evaluation - established patient	50,490	$20	$1M
D2930	N/A	7,570	$120	$908.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	18,280	$50	$822.7K
D8680	N/A	660	$1,190	$788K
D1351	Sealant - per tooth	36,470	$20	$729.4K
D2391	Resin‑based composite – one surface, posterior	12,270	$60	$699.6K
D8670	N/A	10,450	$60	$616.3K

Showing 1–10 of 61

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Winter Enterprises — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	46	70	240	$290	$365.6K
D8680	N/A	10	50	100	$1,010	$362.3K
D9999	N/A	37	70	100	$150	$262.7K
D8080	N/A	12	60	150	$680	$259.7K
D8670	N/A	18	200	1,260	$60	$251.6K
D2751	N/A	4	150	110	$440	$238.4K
D3330	N/A	27	150	120	$520	$229.4K
D2930	N/A	7	170	340	$100	$154.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	71	310	320	$90	$153.5K
D9420	N/A	3	40	180	$260	$114K

Showing 1–10 of 61

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$227M
Elwyn New Jersey	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$206.7M
Arthritis & Rheumatology Associates Of South Jersey PC	NJ	Rheumatology Physician	$0	$53.4M
Comminity Programs Inc.	NJ	Adult Day Care Clinic/Center	$0	$13.7M
City Of Vineland Board Of Education	NJ	Local Education Agency (LEA)	$0	$12.8M
Pinnacle Treatment Centers Nj Iii LLC	NJ	Methadone Clinic	$264.3K	$10.9M
Excelcare Alliance, LLC	NJ	Family Medicine Physician	$0	$11M
Confident Care Corp	NJ	Home Health Agency	$0	$8.2M
Stephen Soloway	NJ	Rheumatology Physician	$2.7M	$0
City Of Vineland	NJ	Ambulance	$798.1K	$1.6M

Winter Enterprises — Billing Profile & Reimbursement Data

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Winter Enterprises — 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