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

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

Sac & Fox Tribe Of The Miss In Iowa (NPI 1477811057)

Field	Value
Entity Type	Organization
Organization	Sac & Fox Tribe Of The Miss In Iowa
Address	1646 305th St
City	Tama
State	IA
ZIP	52339
Taxonomy	General Practice Dentistry
NPI Enumerated	May 2, 2012

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D9999	N/A	6,850	$320	$2.2M
D0999	N/A	1,210	$610	$736.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	3,540	$1	$3.5K
D0120	Periodic oral evaluation - established patient	2,670	$1	$2.7K
D1120	Prophylaxis–child	1,200	$1	$2.4K
D2392	Post 2 surface resin‑based composite	350	$1	$1.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,240	$1	$1.2K
D0274	N/A	700	$1	$700
D0330	N/A	170	$1	$330
D0140	Limited oral evaluation – problem focused	260	$1	$260

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Sac & Fox Tribe Of The Miss In Iowa — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9999	N/A	21	40	6,850	$180	$2.7M
D0999	N/A	23	30	6,470	$210	$1.8M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	158	170	330	$50	$88.3K
D1351	Sealant - per tooth	148	190	750	$20	$60.2K
D2392	Post 2 surface resin‑based composite	91	210	230	$60	$58.6K
D1120	Prophylaxis–child	143	580	310	$20	$43.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	150	630	370	$30	$36.8K
D2391	Resin‑based composite – one surface, posterior	123	190	210	$40	$34.7K
D0120	Periodic oral evaluation - established patient	144	830	530	$20	$34.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	100	630	500	$10	$33.3K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Sac & Fox Tribe Of The Miss In Iowa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sac & Fox Of The Miss In Iowa	IA	Primary Care Clinic/Center	$0	$19.7M
Mercy Physician Associates, Inc	IA	Rural Health Clinic/Center	$0	$3.9M
Sherri Vesely	IA	Family Nurse Practitioner	$7.9K	$0
Erica Quigley	IA	Nurse Practitioner	$4.3K	$0

Sac & Fox Tribe Of The Miss In Iowa — Billing Profile & Reimbursement Data

Sign up for Sac & Fox Tribe Of The Miss In Iowa — Billing Profile & Reimbursement Data policy alerts

Sac & Fox Tribe Of The Miss In Iowa — Billing Profile & Reimbursement Data

Sign up for Sac & Fox Tribe Of The Miss In Iowa — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References