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.

Gregory Rachu (NPI 1023271475)

Field	Value
Entity Type	Individual
Organization	Gregory Rachu
Address	7220 W National Ave
City	West Allis
State	WI
ZIP	53214
Taxonomy	Hospice and Palliative Medicine (Family Medicine) Physician
NPI Enumerated	July 7, 2008

Payer Source	Total Paid
Medicare	$40.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	120	$140	$16.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	250	$60	$15.9K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	90	$60	$5.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$40	$1.4K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	20	$60	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Gregory Rachu — 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. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	490	3,490	60	$60	$7.2K
99223	139	2,080	30	$130	$6.1K
99497	31	190	40	$60	$3.5K
99231	555	1,090	40	$40	$1.8K
99498	9	10	30	$50	$1.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gregory Rachu, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopehealth Hospice & Palliative Care	RI	Community Based Hospice Care Agency	$0	$33.3M
Hopehealth Hospice & Palliative Care	MA	Community Based Hospice Care Agency	$0	$8.6M
Matthew Sarasin	RI	Emergency Medicine Physician	$21.9K	$1.9M
David Ashley	RI	Family Medicine Physician	$0	$952.3K
Margaret Tryforos	RI	Family Medicine Physician	$8.6K	$651.9K
Vincent Varamo	RI	Emergency Medicine Physician	$33.9K	$603.8K
Fadya Elrayess	RI	Family Medicine Physician	$3.6K	$563.9K
Amber Gul	RI	Internal Medicine Physician	$56.5K	$431.8K
Jeffrey Borkan	RI	Family Medicine Physician	$1.8K	$479.4K
Nadine Himelfarb	RI	Emergency Medicine Physician	$65.3K	$185.7K

Nearby Providers

Other providers in the same ZIP code as Gregory Rachu, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.	WI	Public Health or Welfare Agency	$0	$18M
Noah Associates Incorporated	WI	Clinical Medical Laboratory	$475.8K	$10.6M
Labworks, LLC	WI	Clinical Medical Laboratory	$0	$9.9M
Whitmore International LLC	WI	Case Management Agency	$0	$5.3M
Neb Medical Services, Inc	WI	Durable Medical Equipment & Medical Supplies	$0	$5.2M
Genesis Behavioral Services, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$4.8M
Wisconsin Renal Care Group, L.L.C.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
The Home Care Agency, Inc.	WI	Preferred Provider Organization	$0	$3.4M
Wheaton Franciscan Home Health & Hospice, LLC	WI	Home Health Agency	$0	$3.3M
Addiction Services And Pharmacotherapy, Sc	WI	Methadone Clinic	$136.5K	$3M

Gregory Rachu — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References