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.

William Shows (NPI 1538363445)

Field	Value
Entity Type	Individual
Organization	William Shows
Address	3612 Erie Ave
City	Sheboygan
State	WI
ZIP	53081
Taxonomy	Orthodontics and Dentofacial Orthopedics Dentistry
NPI Enumerated	June 13, 2007

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D8670	N/A	24,630	$110	$2.6M
D8080	N/A	790	$1,070	$848.8K
D0330	N/A	2,340	$50	$112.5K
D8660	N/A	1,460	$70	$103.8K
D0150	Comprehensive oral evaluation – new or established patient	2,550	$30	$66.3K
D0340	N/A	1,120	$40	$42.6K
D0470	N/A	870	$40	$36.3K
D0350	N/A	1,050	$30	$31.4K
D0250	N/A	1,100	$20	$24.2K

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

William Shows — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	5	80	2,010	$110	$635.7K
D8080	N/A	9	40	100	$950	$428.8K
D8660	N/A	8	40	300	$70	$50.6K
D0330	N/A	31	270	200	$40	$42.9K
D0150	Comprehensive oral evaluation – new or established patient	75	410	430	$20	$42.6K
D0340	N/A	11	40	330	$40	$29.3K
D0250	N/A	2	10	2,500	$10	$29.2K
D0470	N/A	7	30	270	$40	$26.7K
D0350	N/A	12	40	330	$30	$23.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vista Care South Dakota, LLC	WI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20M
Sheboygan County Health & Human Services	WI	Community/Behavioral Health Agency	$0	$19.3M
Lakeshore Community Health Care, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$14.7M
Aurora Health Care Central, Inc.	WI	General Acute Care Hospital	$0	$12.4M
Universal Home Health Care, Inc	WI	Home Health Agency	$0	$11.6M
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	WI	General Acute Care Hospital	$0	$5M
Sheboygan County Health & Human Services	WI	Case Management Agency	$0	$4.1M
Sheboygan Area School District	WI	Local Education Agency (LEA)	$0	$3.9M
Hospice Advantage, LLC	WI	Community Based Hospice Care Agency	$0	$3.6M
Vista Care Colorado, LLC	WI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.2M

William Shows — Billing Profile & Reimbursement Data

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William Shows — 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