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 1972687192)

Field	Value
Entity Type	Organization
Organization	Horizon Health Care, Inc
Address	102 Major Allen St
City	Martin
State	SD
ZIP	57551
Taxonomy	Dental Clinic/Center
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicaid	$149.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0150	Comprehensive oral evaluation – new or established patient	340	$130	$45.1K
D0140	Limited oral evaluation – problem focused	260	$150	$39.8K
D0120	Periodic oral evaluation - established patient	160	$130	$20.5K
D0220	Intraoral - periapical first radiographic image	260	$70	$18.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	120	$60	$7.5K
D2392	Post 2 surface resin‑based composite	80	$70	$6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	100	$40	$4.4K
D1120	Prophylaxis–child	80	$50	$3.7K
D0230	Intraoral - periapical each additional radiographic image	70	$30	$1.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	280	$10	$1.4K

Showing 1–10 of 14

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

14 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)	27	40	260	$90	$151.5K
D2391	Resin‑based composite – one surface, posterior	43	40	150	$80	$115.5K
D2392	Post 2 surface resin‑based composite	35	60	100	$100	$89.5K
D0140	Limited oral evaluation – problem focused	27	60	120	$140	$84.7K
D1120	Prophylaxis–child	95	140	150	$40	$59.7K
D0210	Intraoral - complete series of radiographic images	26	40	40	$100	$55.6K
D0120	Periodic oral evaluation - established patient	122	180	320	$30	$50.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	79	160	270	$30	$50.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	93	140	200	$60	$41.2K
D0272	N/A	60	70	100	$30	$34.3K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with 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	$9.7M
Horizon Health Care Inc.	SD	Federally Qualified Health Center (FQHC)	$0	$3.3M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$3.2M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$2.3M
Horizon Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$1.2M
Horizon Health Care Inc	SD	Family Medicine Physician	$0	$1.1M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$915.7K
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$705.3K
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$507.3K
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$437.3K

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
Bennett County Hospital And Nursing Home	SD	Critical Access Hospital	$0	$1.3M
Pine Ridge Indian Health Service Hospital	SD	Clinic/Center	$0	$862.1K
Bennett County Rural Health Clinic	SD	Rural Health Clinic/Center	$0	$450.7K
Bennett County Hospital And Nursing Home	SD	Land Ambulance	$50.6K	$390.7K
Cynthia Boltz	SD	Family Nurse Practitioner	$398.6K	$0

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

Related Providers

Nearby Providers

Frequently Asked Questions

References