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.

Columbia St. Mary's Hospital Milwaukee, Inc (NPI 1023064482)

Field	Value
Entity Type	Organization
Organization	Columbia St. Mary's Hospital Milwaukee, Inc
Address	2350 N Lake Dr
City	Milwaukee
State	WI
ZIP	53211
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

190 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	127,020	$30	$4.2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	67,900	$20	$1.6M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,760	$60	$490.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	70,500	$10	$423K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,110	$60	$348.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	8,800	$30	$272.7K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	2,500	$80	$200.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	4,130	$40	$152.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7,250	$20	$137.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	4,100	$30	$119K

Showing 1–10 of 190

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

Columbia St. Mary's Hospital Milwaukee, 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

190 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	30	30	550	$240	$428.8K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	5	10	1,090	$120	$277.4K
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…	77	170	720	$70	$272.7K
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.	172	260	3,590	$20	$232.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	126	190	620	$40	$226.6K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	10	40	930	$100	$214.5K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	18	20	120	$280	$206.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12	1,630	270	$40	$205.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	77	160	990	$30	$191.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	107	120	400	$180	$186.8K

Showing 1–10 of 190

Related Providers

Other providers that share a Tax Identification Number (TIN) with Columbia St. Mary's Hospital Milwaukee, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia St. Mary's Hospital Milwaukee, Inc.	WI	General Acute Care Hospital	$0	$64.5M
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Parkview Health System, Inc.	IN	Internal Medicine Physician	$0	$22.5M
Michael Hafran	MI	Family Medicine Physician	$3.7M	$0
Columbia St Mary's Hospital Ozaukee, Inc.	WI	General Acute Care Hospital	$0	$2.1M
Vishnu Chundi	IL	Infectious Disease Physician	$978.9K	$354.9K
Aristides Assimacopoulos	NC	Infectious Disease Physician	$360.7K	$450.7K
Jose Pratts Emanuelli	TN	Diagnostic Radiology Physician	$759.9K	$16.3K
Brian Harting	IL	Infectious Disease Physician	$266.4K	$249.5K
Andrew Hutchens	TN	Diagnostic Radiology Physician	$424.1K	$0

Nearby Providers

Other providers in the same ZIP code as Columbia St. Mary's Hospital Milwaukee, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Wisconsin Laboratories, Inc	WI	Clinical Medical Laboratory	$431.4K	$5.8M
North Shore Pathologists Sc	WI	Anatomic Pathology & Clinical Pathology Physician	$0	$2.6M
Infinity Healthcare Physicians, S.c.	WI	Emergency Medicine Physician	$0	$2.5M
Metropolitan Medical Center, LLC	WI	Ambulatory Surgical Clinic/Center	$711.8K	$148.1K
Sandeep Ramanujam	WI	Family Medicine Physician	$495.6K	$85.7K
Loritz Chavez	WI	Hospitalist Physician	$158.5K	$121.4K
Kevin Krembs	WI	Internal Medicine Physician	$125.6K	$0
Nguyen Phan	WI	Clinical Cardiac Electrophysiology Physician	$124.2K	$400
Debra Scarlett	WI	Dermatology Physician	$114.5K	$0
Rashad Khazi Syed	WI	Clinical Cardiac Electrophysiology Physician	$112.2K	$160

Columbia St. Mary's Hospital Milwaukee, Inc — Billing Profile & Reimbursement Data

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Columbia St. Mary's Hospital Milwaukee, 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