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.

The Arc Of Fond Du Lac (NPI 1003993809)

Field	Value
Entity Type	Organization
Organization	The Arc Of Fond Du Lac
Address	500 N Park Ave
City	Fond Du Lac
State	WI
ZIP	54935
Taxonomy	Speech-Language Pathologist
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2037	Therapeutic camping, day, waiver; each session	670	$1,010	$674.7K
T2021	Day habilitation, waiver; per 15 minutes	340	$1,230	$413.3K
S5150	Unskilled respite care, not hospice; per 15 minutes	650	$500	$324.4K
T2003	Non-emergency transportation; encounter/trip	560	$330	$183.3K
S5151	Unskilled respite care, not hospice; per diem	420	$410	$173K

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

The Arc Of Fond Du Lac — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	20	30	2,010	$90	$2.1M
S5151	Unskilled respite care, not hospice; per diem	13	20	2,030	$280	$1.1M
T2021	Day habilitation, waiver; per 15 minutes	20	40	340	$200	$441.5K
T2037	Therapeutic camping, day, waiver; each session	7	20	200	$500	$420.2K
T2003	Non-emergency transportation; encounter/trip	208	260	4,280	$10	$153.2K

Nearby Providers

Other providers in the same ZIP code as The Arc Of Fond Du Lac, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agnesian Healthcare, Inc	WI	General Acute Care Hospital	$0	$17.8M
Agnesian Healthcare Inc	WI	Family Medicine Physician	$0	$7.4M
Consultants Laboratory Of Wisconsin, LLC	WI	Clinical Medical Laboratory	$1.2M	$4.6M
Fond Du Lac County Dcp Case Management	WI	Case Management Agency	$0	$5.8M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$0	$4.8M
Fond Du Lac Co Dcp Ccs Program	WI	Community/Behavioral Health Agency	$0	$4.3M
Fond Du Lac School District	WI	Local Education Agency (LEA)	$0	$2.5M
Agnesian Healthcare Inc	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Agnesian Healthcare Enterprises LLC	WI	Durable Medical Equipment & Medical Supplies	$0	$2.2M
City Of Fond Du Lac	WI	Land Ambulance	$325.7K	$1.5M

The Arc Of Fond Du Lac — Billing Profile & Reimbursement Data

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The Arc Of Fond Du Lac — 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