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.

Beaver Dam Community Hospitals Inc (NPI 1023187416)

Beaver Dam Community Hospitals Inc is a general acute care hospital provider located in Beaver Dam, Wisconsin. This profile covers 0 Medicare and 244 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	Beaver Dam Community Hospitals Inc
Address	707 S University Ave
City	Beaver Dam
State	WI
ZIP	53916
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

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

244 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	34,260	$50	$1.8M
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.	10,210	$110	$1.1M
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.	13,790	$50	$634.2K
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…	10,030	$50	$491.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	7,680	$60	$452.9K
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.	20,250	$20	$425.3K
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.	7,220	$50	$382.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	5,350	$60	$331.8K
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.	6,320	$40	$265.4K
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…	2,500	$100	$255.3K

Showing 1–10 of 244

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

Beaver Dam Community Hospitals Inc — 3 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

244 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	28	140	3,200	$160	$1.1M
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.	105	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.	60	430	760	$60	$484.6K
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.	141	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.	46	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.	66	330	1,350	$60	$338K
81513	The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…	7	10	250	$80	$304.6K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	20	20	510	$70	$255.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	72	80	650	$110	$244.4K
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.	45	260	3,590	$20	$232.2K

Showing 1–10 of 244

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Topeka Physician Group, LLC	KS	Internal Medicine Physician	$0	$963.7K
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Robert Hegeman	WI	Medical Oncology Physician	$393.7K	$0
Nathan Hannemann	CO	Diagnostic Radiology Physician	$210K	$2K
Jay Wilkins	WI	Ophthalmology Physician	$190.7K	$0
Mark Camens	MI	Diagnostic Radiology Physician	$176.6K	$0
Patrick Leonberger	WI	Internal Medicine Physician	$71.4K	$97.2K
Martin Rene	WI	Emergency Medicine Physician	$48.6K	$110.6K
Ameer Alwafai	IL	Neurocritical Care Physician	$105.1K	$49.3K
Qazi Uddin	VA	Diagnostic Radiology Physician	$148.9K	$1.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beaver Dam Unified School District	WI	Local Education Agency (LEA)	$0	$1.4M
City Of Beaver Dam Et Al	WI	Land Ambulance	$211.4K	$227.8K
Dale Alt	WI	Chiropractor	$63.6K	$263.4K
Walgreen Co	WI	Pharmacy	$243.6K	$48.4K
Ayman Yaish	WI	Otolaryngology/Facial Plastic Surgery Physician	$264.8K	$0
Kim Albridge	WI	Dermatology Physician	$198.4K	$0
Bridget Kilbride	WI	Physician Assistant	$176.6K	$0
Jake Quinn	WI	Medical Physician Assistant	$115.8K	$0
Jessamyn Kovacs	WI	Optometrist	$98.3K	$8.8K
Kirsten Krohn	WI	Dermatology Physician	$68.1K	$5.4K

Beaver Dam Community Hospitals Inc — Billing Profile & Reimbursement Data

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Beaver Dam Community Hospitals 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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