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.

Froedtert South, Inc. (NPI 1003831132)

Froedtert South, Inc. is a general acute care hospital provider located in Pleasant Prairie, Wisconsin. This profile covers 0 Medicare and 454 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Froedtert South, Inc.
Address	9555 76th St
City	Pleasant Prairie
State	WI
ZIP	53158
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$33M
Medicare	$0

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

454 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	75,110	$60	$4.7M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	43,740	$60	$2.6M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	14,360	$100	$1.5M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	75,770	$20	$1.4M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	39,920	$40	$1.4M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	45,640	$30	$1.2M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	13,130	$90	$1.2M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	13,540	$70	$1M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	9,760	$60	$595.2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	8,430	$70	$564.5K

Showing 1–10 of 454

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

Froedtert South, Inc. — 9 of 25 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

454 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	23	120	17,840	$50	$1.2M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	15	140	3,200	$160	$1.1M
P9016	Red blood cells, leukocytes reduced, each unit	7	10	750	$590	$906.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	7	360	1,550	$70	$614.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	12	430	760	$60	$484.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	4	20	320	$60	$483K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	42	190	1,790	$90	$390.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	15	140	2,200	$90	$358.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	69	330	1,350	$60	$338K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	47	170	720	$70	$272.7K

Showing 1–10 of 454

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Froedtert South, Inc.	WI	Family Medicine Physician	$0	$5.3M
Vivek Sehgal	NJ	Diagnostic Radiology Physician	$281.4K	$265.1K
Srikanth Davuluri	WI	Pulmonary Disease Physician	$94.6K	$342.5K
Kunal Patel	WI	Pulmonary Disease Physician	$100.8K	$316.8K
Michael Babbitt	WI	Diagnostic Radiology Physician	$135K	$249.6K
Lauren Snower	WI	Internal Medicine Physician	$179.5K	$192.4K
Vijayta Bansal-kapuria	IL	Neurology Physician	$296.1K	$61.1K
Shou Mei	WI	Diagnostic Radiology Physician	$153.4K	$186.2K
Shazia Kamran	WI	Neurology Physician	$96.2K	$202.5K
David Knight	WI	Hematology & Oncology Physician	$235.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospice Alliance, Inc.	WI	Community Based Hospice Care Agency	$0	$5.4M
Nicole Ellish	WI	Behavior Analyst	$0	$4.5M
Marie Johnson	WI	Behavior Analyst	$0	$2.1M
Haileigh Haugh	WI	Behavior Analyst	$0	$1.5M
Dana Ignarski	WI	Behavior Analyst	$0	$1.4M
Aurora Surgery Centers, LLC	WI	Ambulatory Surgical Clinic/Center	$286K	$950
Village Of Pleasant Prairie	WI	Land Ambulance	$145.9K	$67.3K
Platina Gershtenson	WI	Dermatology Physician	$164.3K	$0
Ninad Dixit	WI	Internal Medicine Physician	$160.9K	$1.6K
Robina Chowdhery	WI	Rheumatology Physician	$136.8K	$0

Froedtert South, Inc. — Billing Profile & Reimbursement Data

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Froedtert South, 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

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