Behavioral
Healthnet of Rock County, INC.
Healthnet of Rock County, INC. was paid $1.82M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 26% of everything it billed.
33Billing provider infoHEALTHNET OF ROCK COUNTY, INC.
JANESVILLE, WI 53548
JANESVILLE, WI 53548
33aNPI1205285699assigned 06/07/2016
33bProvider typeSocial Worker
28Total paid$1.82M
24GClaims93,820
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in Wisconsin
Rank by total paid#3 of 67
Median peer was paid$8K
This provider vs. median225×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,245 | $77K | |
| 2019 | 7,727 | $131K | |
| 2020 | 6,211 | $91K | |
| 2021 | 13,064 | $202K | |
| 2022 | 16,500 | $361K | |
| 2023 | 20,944 | $441K | |
| 2024incomplete | 25,129 | $518K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 26% | 30,145 | 29,676 | $481K |
| D0191 | 19% | 24,931 | 24,590 | $343K | |
| D1351 | Sealant - per tooth | 19% | 15,903 | 3,793 | $340K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.8% | 1,722 | 1,298 | $106K |
| D0210 | Intraoral - complete series of radiographic images | 4.4% | 1,449 | 1,408 | $80K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 1,642 | 887 | $78K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.6% | 2,803 | 2,742 | $65K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.5% | 1,295 | 902 | $63K |
| D1110 | Prophylaxis - adult | 3.4% | 1,993 | 1,935 | $62K |
| D0140 | Limited oral evaluation - problem focused | 2.7% | 2,385 | 2,261 | $49K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 1,358 | 1,314 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.6% | 1,569 | 1,528 | $30K |
12 more codes
| D0274 | Bitewings - four radiographic images | 1.4% | 1,348 | $25K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 2,242 | $19K |
| D1354 | <1% | 1,482 | $11K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 158 | $11K |
| D0272 | Bitewings - two radiographic images | <1% | 446 | $6K |
| D2330 | <1% | 129 | $6K | |
| D2331 | <1% | 59 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 508 | $3K |
| D0330 | Panoramic radiographic image | <1% | 47 | $2K |
| D0240 | <1% | 107 | $1K | |
| D2394 | <1% | 15 | $1K | |
| D0270 | <1% | 84 | $830.43 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHEDGES, IAN (EXECUTIVE DIRECTOR)
Parent organizationHEALTHNET OF ROCK COUNTY, INC.