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

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

Rosemary Villa (NPI 1740335942)

Field	Value
Entity Type	Individual
Organization	Rosemary Villa
Address	3827 E Main St
City	St Charles
State	IL
ZIP	60174
Taxonomy	General Practice Dentistry
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	4,490	$250	$1.1M
D1354	N/A	13,880	$40	$499.6K
D9230	N/A	3,520	$50	$190K
D3220	N/A	1,680	$100	$164.4K
D2392	Post 2 surface resin‑based composite	1,640	$100	$158.7K
D1351	Sealant - per tooth	2,110	$70	$139.1K
D1120	Prophylaxis–child	3,370	$40	$131.5K
D2393	Resin-based composite, three surfaces, posterior	910	$140	$124.5K
D0230	Intraoral - periapical each additional radiographic image	8,740	$10	$122.3K
D1510	N/A	1,270	$100	$120.8K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Rosemary Villa — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	155	220	1,090	$110	$610.1K
D2930	N/A	9	140	190	$160	$180.3K
D1120	Prophylaxis–child	460	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	257	1,270	530	$60	$87.1K
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…	94	490	160	$100	$64.4K
D0120	Periodic oral evaluation - established patient	634	2,170	1,010	$30	$64.3K
D3220	N/A	12	110	120	$80	$50.6K
D1510	N/A	4	30	100	$120	$46.6K
D1208	Topical application of fluoride - excluding varnish	287	1,480	700	$20	$45.2K
D2392	Post 2 surface resin‑based composite	164	1,300	290	$60	$44K

Showing 1–10 of 39

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-city Ambulance	IL	Land Ambulance	$1M	$3.6M
Mike Kelvin Esguerra	IL	Occupational Therapist	$410.6K	$0
Rany Jazayerli	IL	Dermatology Physician	$247.9K	$0
John Yuhas	IL	Foot & Ankle Surgery Podiatrist	$195.4K	$15.2K
Lori Zimmers	IL	Internal Medicine Physician	$154.9K	$0
Vimal Patel	IL	Family Medicine Physician	$109.5K	$0
Doctor's Data, Inc.	IL	Clinical Medical Laboratory	$77K	$2.7K
Aparna Sekhar	IL	Orthopedic Physical Therapist	$13.1K	$0

Rosemary Villa — Billing Profile & Reimbursement Data

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Rosemary Villa — 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