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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Drs. Herman & Mack PC (NPI 1578670691)

Field	Value
Entity Type	Organization
Organization	Drs. Herman & Mack PC
Address	206 5th Ave Se
City	Devils Lake
State	ND
ZIP	58301
Taxonomy	General Practice Dentistry
NPI Enumerated	August 24, 2006

Payer Source	Total Paid
Medicaid	$26.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	490	$30	$13.7K
D1208	Topical application of fluoride - excluding varnish	350	$20	$8.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	60	$70	$3.6K
D1120	Prophylaxis–child	20	$40	$570

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Drs. Herman & Mack PC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	71	80	360	$40	$48.3K
D0120	Periodic oral evaluation - established patient	53	120	350	$40	$46.8K
D1208	Topical application of fluoride - excluding varnish	16	30	320	$20	$26.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	56	80	160	$40	$24.1K

Nearby Providers

Other providers in the same ZIP code as Drs. Herman & Mack PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Region Corporation	ND	Community/Behavioral Health Agency	$0	$24.3M
Mercy Hospital Of Devils Lake	ND	Critical Access Hospital	$0	$11.1M
Emergency Ambulance Of Devils Lake	ND	Land Ambulance	$410K	$2.8M
Lake Region Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Mercy Hospital Of Devils Lake	ND	Emergency Medicine Physician	$0	$1.6M
Altru Health System	ND	Rural Health Clinic/Center	$0	$1.5M
Drs Moen Enderle And Krein PC	ND	Optometrist	$0	$440.3K
Lake Region District Health Unit	ND	Public Health or Welfare Agency	$0	$398.7K
Lifewise Associates LLC	ND	Clinic/Center	$0	$395.9K
Kristin Kenner	ND	General Practice Dentistry	$0	$285.9K

Drs. Herman & Mack PC — Billing Profile & Reimbursement Data

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Drs. Herman & Mack PC — 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