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

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

Todd Hoeppner (NPI 1861588857)

Field	Value
Entity Type	Individual
Organization	Todd Hoeppner
Address	615 S Illinois Ave
City	Mason City
State	IA
ZIP	50401
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	25,260	$30	$732.4K
D2930	N/A	7,160	$100	$708.5K
D0120	Periodic oral evaluation - established patient	30,350	$20	$607K
D1208	Topical application of fluoride - excluding varnish	28,960	$20	$492.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,860	$40	$306.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,500	$50	$296.8K
D3220	N/A	4,360	$60	$253.1K
D0230	Intraoral - periapical each additional radiographic image	20,770	$10	$249.3K
D1351	Sealant - per tooth	7,510	$20	$157.6K
D2150	Amalgam - two surfaces, primary or permanent	2,090	$70	$140K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Todd Hoeppner — 10 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	6	80	850	$110	$217.2K
D9248	N/A	3	10	20	$130	$108.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12	170	330	$50	$88.3K
D1351	Sealant - per tooth	20	190	750	$20	$60.2K
D3220	N/A	2	40	190	$80	$55.5K
D1120	Prophylaxis–child	6	580	310	$20	$43.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16	630	370	$30	$36.8K
D2391	Resin‑based composite – one surface, posterior	148	190	210	$40	$34.7K
D0120	Periodic oral evaluation - established patient	8	830	530	$20	$34.1K
D9230	N/A	7	90	560	$20	$28.6K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Services-iowa Corp	IA	Rural Acute Care Hospital	$0	$45.7M
Prairie Ridge Integrated Behavioral Healthcare	IA	Substance Abuse Rehabilitation Facility	$0	$24.2M
North Iowa Vocational Center	IA	Developmentally Disabled Services Day Training Agency	$0	$15.3M
Mason City Community School District	IA	Local Education Agency (LEA)	$0	$6.8M
Community Health Center Of Fort Dodge, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$6.4M
City Of Mason City	IA	Land Ambulance	$616.5K	$4.3M
North Iowa Mercy Clinics	IA	Emergency Medicine Physician	$0	$3.9M
North Iowa Transition Center	IA	Community/Behavioral Health Agency	$0	$3.7M
North Iowa Mercy Clinics	IA	Cardiovascular Disease Physician	$0	$2.7M
Mason City Ambulatory Surgery Center, LLC	IA	Ambulatory Surgical Clinic/Center	$2.2M	$422.9K

Todd Hoeppner — Billing Profile & Reimbursement Data

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Todd Hoeppner — 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