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

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

Kallie Krugman (NPI 1750540845)

Field	Value
Entity Type	Individual
Organization	Kallie Krugman
Address	510 W Madison Ave
City	Norfolk
State	NE
ZIP	68701
Taxonomy	General Practice Dentistry
NPI Enumerated	June 4, 2008

Payer Source	Total Paid
Medicaid	$295.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,710	$20	$59.6K
D0120	Periodic oral evaluation - established patient	2,430	$20	$53.4K
D1120	Prophylaxis–child	1,780	$30	$46.2K
D1351	Sealant - per tooth	1,790	$20	$43.1K
D2150	Amalgam - two surfaces, primary or permanent	530	$60	$29.5K
D0272	N/A	1,270	$10	$16.5K
D0274	N/A	930	$20	$15.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	460	$30	$14.7K
D1999	N/A	960	$10	$9.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	40	$60	$2.5K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Kallie Krugman — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	42	130	460	$30	$84.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	60	320	460	$20	$62.2K
D1120	Prophylaxis–child	64	290	320	$30	$61K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	68	100	180	$60	$58.2K
D0120	Periodic oral evaluation - established patient	68	400	430	$20	$44.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	113	310	220	$40	$28.1K
D1999	N/A	98	270	450	$10	$17.9K
D0272	N/A	42	210	210	$10	$17.7K
D0150	Comprehensive oral evaluation – new or established patient	178	240	190	$20	$16.3K
D2150	Amalgam - two surfaces, primary or permanent	3	20	90	$60	$15.7K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midtown Health Center, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$10.1M
Faith Regional Health Services	NE	General Acute Care Hospital	$0	$7.3M
Faith Regional Physician Services, LLC	NE	Family Medicine Physician	$0	$5.5M
Behavioral Health Specialists Sunrise Place	NE	Substance Abuse Rehabilitation Facility	$0	$4.6M
Children & Adoleseant Clinic PC	NE	Pediatrics Physician	$0	$4.3M
The Well Ne	NE	Substance Abuse Rehabilitation Facility	$0	$3.1M
Nmg LLC	NE	Family Medicine Physician	$0	$2.9M
Cor Therapeutic Services, LLC	NE	Mental Health Counselor	$0	$2.2M
Rabih Fahed	NE	Hematology & Oncology Physician	$2M	$0
Oasis Counseling International	NE	Mental Health Counselor	$0	$2M

Kallie Krugman — Billing Profile & Reimbursement Data

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Kallie Krugman — 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