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.

Thomas Kelley (NPI 1770572828)

Field	Value
Entity Type	Individual
Organization	Thomas Kelley
Address	150 S Calhoun Rd
City	Brookfield
State	WI
ZIP	53005
Taxonomy	Periodontics
NPI Enumerated	October 20, 2005

Payer Source	Total Paid
Medicaid	$1.7M
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
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	8,880	$70	$630.7K
D0160	N/A	5,350	$40	$224.5K
D0210	Intraoral - complete series of radiographic images	4,920	$40	$191.7K
D4355	N/A	2,520	$60	$148.5K
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…	1,900	$70	$123.5K
D4910	Periodontal maintenance procedures	2,190	$40	$94.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,660	$30	$74.6K
D0150	Comprehensive oral evaluation – new or established patient	2,510	$20	$42.7K
D0120	Periodic oral evaluation - established patient	2,460	$20	$36.8K
D4342	N/A	1,100	$30	$36.3K

Showing 1–10 of 15

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

Thomas Kelley — 4 of 15 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

15 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…	29	120	490	$100	$179.5K
D0160	N/A	2	20	290	$60	$85K
D1120	Prophylaxis–child	258	520	460	$30	$62.6K
D0210	Intraoral - complete series of radiographic images	18	270	360	$40	$60K
D0120	Periodic oral evaluation - established patient	114	500	480	$20	$56K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	76	500	350	$30	$51.5K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	2	40	150	$80	$50.7K
D0150	Comprehensive oral evaluation – new or established patient	78	410	430	$20	$42.6K
D0140	Limited oral evaluation – problem focused	119	340	380	$20	$35.3K
D1208	Topical application of fluoride - excluding varnish	86	250	400	$20	$29.3K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Health Plan, Inc	WI	Health Maintenance Organization	$0	$63.1M
Linda Klotz	WI	Behavior Analyst	$0	$2.9M
Alec H. Jaret, Dmd, PC	WI	Dentist	$0	$2.4M
Heather Martyn	WI	Behavior Analyst	$0	$2.4M
Samantha Gates	WI	Behavior Analyst	$0	$2.2M
Holly Bruski	WI	Behavior Analyst	$0	$1.9M
Brittany Naida	WI	Behavior Analyst	$0	$1.7M
Hospice Preferred Choice, Inc	WI	Community Based Hospice Care Agency	$0	$1.5M
Family Options Counseling, LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.3M
Dermatopathology Of Wisconsin Sc	WI	Clinical Medical Laboratory	$1M	$304.1K

Thomas Kelley — Billing Profile & Reimbursement Data

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Thomas Kelley — 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