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.

Rock River Community Clinic, Inc (NPI 1528244613)

Field	Value
Entity Type	Organization
Organization	Rock River Community Clinic, Inc
Address	520 Handeyside
City	Fort Atkinson
State	WI
ZIP	53538
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 18, 2008

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.

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	4,090	$60	$229.1K
D0160	N/A	2,860	$50	$137.3K
D2393	Resin-based composite, three surfaces, posterior	1,750	$70	$115.8K
D0210	Intraoral - complete series of radiographic images	2,660	$40	$111.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,990	$30	$111.8K
D2391	Resin‑based composite – one surface, posterior	2,300	$40	$101.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,370	$40	$94.7K
D1351	Sealant - per tooth	4,880	$20	$87.9K
D1208	Topical application of fluoride - excluding varnish	5,990	$10	$71.9K
D1120	Prophylaxis–child	3,040	$20	$70K

Showing 1–10 of 30

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

Rock River Community Clinic, Inc — 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	54	120	490	$100	$179.5K
D2392	Post 2 surface resin‑based composite	36	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	47	220	430	$50	$111.4K
D1351	Sealant - per tooth	73	340	1,020	$20	$90.2K
D0160	N/A	3	20	290	$60	$85K
D2393	Resin-based composite, three surfaces, posterior	21	140	270	$70	$72.8K
D2391	Resin‑based composite – one surface, posterior	39	240	300	$50	$71.8K
D1120	Prophylaxis–child	93	520	460	$30	$62.6K
D0210	Intraoral - complete series of radiographic images	46	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	141	500	480	$20	$56K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Rock River Community Clinic, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fort Healthcare, Inc.	WI	General Acute Care Hospital	$0	$9.4M
School District Of Fort Atkinson	WI	Local Education Agency (LEA)	$0	$1.5M
Fort Healthcare Inc	WI	Rural Health Clinic/Center	$0	$1.4M
Opportunities, Inc. Of Jefferson County	WI	Developmentally Disabled Services Day Training Agency	$0	$1.3M
City Of Fort Atkinson	WI	Land Ambulance	$166.1K	$87.7K
Walgreen Co	WI	Pharmacy	$175.2K	$27K
Catherine Lee	WI	Ophthalmology Physician	$194.9K	$0
Pain Centers Of Wisconsin - Fort Atkinson, LLC	WI	Interventional Pain Medicine Physician	$101.7K	$0
Paul Schuppner	WI	Orthopaedic Surgery Physician	$96.1K	$0
Matthew Bliss	WI	Orthopaedic Hand Surgery Physician	$74.9K	$0

Rock River Community Clinic, Inc — Billing Profile & Reimbursement Data

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Rock River Community Clinic, Inc — 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