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

Why is the Medicaid comparison limited to South 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. South 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.

Horizon Health Care Inc (NPI 1912011941)

Field	Value
Entity Type	Organization
Organization	Horizon Health Care Inc
Address	801 3rd Street Sw
City	Desmet
State	SD
ZIP	57231
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$345.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,580	$150	$242.9K
D0150	Comprehensive oral evaluation – new or established patient	250	$120	$31.4K
D2392	Post 2 surface resin‑based composite	250	$70	$18K
D2391	Resin‑based composite – one surface, posterior	140	$90	$11.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	900	$10	$8.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,310	$10	$6.5K
D0140	Limited oral evaluation – problem focused	60	$110	$6.3K
D0220	Intraoral - periapical first radiographic image	110	$50	$5.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	140	$40	$5K
D1120	Prophylaxis–child	890	$10	$4.4K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Horizon Health Care Inc — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	26	40	260	$90	$151.5K
D2391	Resin‑based composite – one surface, posterior	23	40	150	$80	$115.5K
D2392	Post 2 surface resin‑based composite	20	60	100	$100	$89.5K
D0140	Limited oral evaluation – problem focused	42	60	120	$140	$84.7K
D1120	Prophylaxis–child	27	140	150	$40	$59.7K
D0120	Periodic oral evaluation - established patient	25	180	320	$30	$50.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	35	160	270	$30	$50.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	20	140	200	$60	$41.2K
D0272	N/A	26	70	100	$30	$34.3K
D0150	Comprehensive oral evaluation – new or established patient	29	110	100	$60	$30.9K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Horizon Health Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$379.8K
De Smet Emergency Rescue Unit Inc.	SD	Ambulance	$54.8K	$0
Gregory Tuttle	SD	Public Health Dentistry	$0	$43.3K
Avera Queen Of Peace	SD	General Practice Physician	$0	$37.8K

Horizon Health Care Inc — Billing Profile & Reimbursement Data

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Horizon Health Care Inc — 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