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

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

Door County Memorial Hospital (NPI 1497079784)

Field	Value
Entity Type	Organization
Organization	Door County Memorial Hospital
Address	228 S 18th Ave
City	Sturgeon Bay
State	WI
ZIP	54235
Taxonomy	Dental Clinic/Center
NPI Enumerated	March 16, 2010

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,750	$30	$232.6K
D2392	Post 2 surface resin‑based composite	3,470	$60	$218.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,400	$10	$131.5K
D1120	Prophylaxis–child	5,030	$20	$120.7K
D2391	Resin‑based composite – one surface, posterior	2,450	$50	$117.6K
D0120	Periodic oral evaluation - established patient	7,290	$20	$109.3K
D1351	Sealant - per tooth	4,910	$20	$98.2K
D2393	Resin-based composite, three surfaces, posterior	940	$80	$73.6K
D0140	Limited oral evaluation – problem focused	3,460	$20	$72.6K
D0274	N/A	3,210	$20	$61K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Door County Memorial Hospital — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	40	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	90	220	430	$50	$111.4K
D1351	Sealant - per tooth	71	340	1,020	$20	$90.2K
D2393	Resin-based composite, three surfaces, posterior	38	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	38	240	300	$50	$71.8K
D1120	Prophylaxis–child	66	520	460	$30	$62.6K
D0210	Intraoral - complete series of radiographic images	105	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	49	500	480	$20	$56K
D9230	N/A	55	120	300	$40	$54.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	34	500	350	$30	$51.5K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Door County Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Door County Memorial Hospital	WI	Critical Access Hospital	$0	$7.5M
Ajit Chary	IL	Pulmonary Disease Physician	$101.4K	$0
Delbert Rogers	WI	Family Medicine Physician	$84.7K	$0
Minoudokht Azimi-zavarei	WI	Internal Medicine Physician	$75.3K	$0
Scott Harter	AZ	Anesthesiology Physician	$47.9K	$0
Nima Hani	UT	Critical Care Medicine (Internal Medicine) Physician	$44.8K	$670
Victoria Burger	WI	Certified Registered Nurse Anesthetist	$10.5K	$0
Jose Ochoa	TX	Critical Care Medicine (Internal Medicine) Physician	$10.3K	$0
Karen Stanlaw	HI	Emergency Medicine Physician	$9.8K	$0

Nearby Providers

Other providers in the same ZIP code as Door County Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Door-door County Library	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
County Of Door-door County Library	WI	Land Ambulance	$405.9K	$237.6K
Cathleen Keltgen	WI	Chiropractor	$74K	$383.2K
Diane Thaler	WI	Dermatology Physician	$194K	$0
Wisconsin Cvs Pharmacy, L.L.C.	WI	Pharmacy	$146.8K	$2.4K
Bradley Burkart	WI	Podiatrist	$108.9K	$6.6K
Kurt Harris	WI	Diagnostic Radiology Physician	$98.9K	$0
John Paulsen	WI	Optometrist	$70.5K	$0
Annika Paulsen	WI	Optometrist	$68.6K	$0
Luke Staudenmaier	WI	Chiropractor	$67.8K	$0

Door County Memorial Hospital — Billing Profile & Reimbursement Data

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Door County Memorial Hospital — 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