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.

City Of Milwaukee Health Dept (NPI 1023253028)

Field	Value
Entity Type	Organization
Organization	City Of Milwaukee Health Dept
Address	841 N Broadway Fl 3
City	Milwaukee
State	WI
ZIP	53202
Taxonomy	Clinic/Center
NPI Enumerated	December 5, 2008

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H1010	Non-medical family planning education, per session	12,110	$70	$811.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	19,420	$40	$757.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	19,700	$40	$748.7K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	14,310	$30	$429.4K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	11,660	$20	$244.9K
86780	The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis.	10,330	$10	$93K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	8,260	$10	$82.6K
S4993	Contraceptive pills for birth control	1,700	$40	$74.8K
99201	Deleted code, effective Jan. 1, 2021	2,270	$20	$45.5K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	1,350	$30	$41.9K

Showing 1–10 of 37

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

City Of Milwaukee Health Dept — 2 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H1010	Non-medical family planning education, per session	13	50	3,770	$90	$744.2K
S4993	Contraceptive pills for birth control	29	50	3,210	$70	$732.6K
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…	989	1,630	270	$40	$205.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	10	160	990	$30	$191.8K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	6	60	970	$30	$180.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	10	160	970	$30	$174.2K
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…	1,040	1,760	250	$40	$173.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	16	350	300	$50	$157.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	218	350	210	$60	$95.8K
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,…	224	690	160	$60	$90.4K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as City Of Milwaukee Health Dept, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$22M
M. L. Tharps & Associates LLC	WI	Supports Brokerage Agency	$0	$9.9M
Dva Renal Healthcare Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Murtaza Sajan	WI	Dentist	$0	$3.1M
Abbey Ford	WI	Family Nurse Practitioner	$806K	$0
William Maloney	WI	Emergency Medicine Physician	$96.4K	$655.9K
Aleksandar Rosich	WI	Internal Medicine Physician	$219.4K	$311.8K
Kelly Ann Cullen	WI	Emergency Medicine Physician	$106K	$266.7K
Fleming Dermatopathology, LLC	WI	Dermatopathology Physician	$298.5K	$0
David Lieberman	WI	Emergency Medicine Physician	$29K	$223.2K

City Of Milwaukee Health Dept — Billing Profile & Reimbursement Data

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City Of Milwaukee Health Dept — 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