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.

Dean Health Systems, Inc (NPI 1053358846)

Key Findings

Field	Value
Entity Type	Organization
Organization	Dean Health Systems, Inc
Address	1211 Fish Hatchery Rd
City	Madison
State	WI
ZIP	53715
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicaid	$26.3M
Medicare	$0

This entity reports $26.3M in lifetime Medicaid revenue and has no Medicare billing on file, making its public claims footprint effectively single‑payer (Medicaid) for the available data. The provider’s NPI was enumerated on 2006-06-01 (~20 years ago), indicating long tenure in the dataset which supports sustained, established billing patterns rather than a recent entrant effect.

Revenue is highly concentrated in a small number of evaluation-and-management and ophthalmology codes: the precomputed top‑3 Medicaid codes account for 64.9% of the provider’s total Medicaid revenue. Those top three are 99214 ($8.5M, 37.5%), 99213 ($5M, 21.9%), and 92014 ($1.2M, 5.4%), signaling that a few high-volume services drive the majority of Medicaid receipts.

The code mix indicates a large ambulatory care operation with substantial office E/M volume alongside embedded eye-care services. High revenues and counts for 99214 (219.2K claims) and 99213 (178.1K claims) reflect heavy established‑patient clinic throughput, while ophthalmology codes such as 92014 (36.4K claims, $1.2M), 92015 (73.1K claims, $511.8K), and 92004 (9.6K claims, $365.9K) show integrated or co-located vision services contributing materially to the revenue base.

Preventive and pediatric well‑visit activity is another meaningful line: codes 99392 ($732K, 3.2%), 99391 ($723.9K, 3.2%), 99393 ($561.8K, 2.5%), and 99394 ($244.4K, 1.1%) all rank near the top in-state (most at the 98th–99th percentile or higher). This pattern suggests routine preventive care and well‑child/adolescent visits are significant components of ambulatory throughput and revenue.

Behavioral health and cognitive assessment services are present at notable scale within the Medicaid mix. Psychotherapy-related codes such as 90837 ($659K, 2.9%) and the add‑on 90833 ($475.5K, 2.1%) are in the 96th–97th percentile, and 96116 ($200.3K, 0.9%) ranks #1 of 19 providers (100th percentile), indicating a meaningful behavioral health assessment and treatment capability in the provider’s operations.

Statewide competitive standing for many top codes is dominant: 99214 ranks #4 of 1628 providers in-state (100th percentile; extreme outlier) and 99213 ranks #8 of 1755 (100th percentile; extreme outlier), while ophthalmology codes such as 92014 rank #2 of 413 (100th percentile; extreme outlier) and 92015 ranks #2 of 480 (100th percentile; extreme outlier). These ranks show the provider is a major, often top‑tier participant in Wisconsin Medicaid for core ambulatory and eye‑care services.

The provider also delivers a broad set of ancillary diagnostics and procedural services beyond E/M and ophthalmology, which diversifies revenue streams. Examples include high statewide ranks for vision screening and fittings (99173: 13K claims, $221.4K, rank #3, extreme outlier; 92340: 9.7K claims, $194.1K, rank #4, 99th percentile), audiology screening (92551: 16K claims, $207.7K, rank #2, 99th percentile), and cardiac imaging (93306: $463.3K, 2.0%, rank #6, 97th percentile), indicating service breadth across pediatrics, diagnostics, and specialty testing.

From an operational and reimbursement-sensitivity perspective, the heavy reliance on a small set of high-volume codes (top 3 = 64.9% of Medicaid revenue) means changes in office‑visit or ophthalmology reimbursement, coding guidance, or state policy could have outsized effects on total Medicaid revenue. Combined with long tenure (~20 years) and top statewide rankings on multiple services, the profile is consistent with a large, established ambulatory system concentrated in E/M and vision services with substantial ancillary behavioral health and diagnostic offerings.

Medicaid: Complete Services Breakdown

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

246 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…	219,170	$40	$8.5M
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…	178,050	$30	$5M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	36,440	$30	$1.2M
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…	12,840	$60	$732K
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…	12,700	$60	$723.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	8,790	$80	$659K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,690	$60	$561.8K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	73,120	$10	$511.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	11,060	$40	$475.5K
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…	8,910	$50	$463.3K

Showing 1–10 of 246

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

Dean Health Systems, Inc — 20 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

246 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	15	30	550	$240	$428.8K
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.	111	140	2,200	$90	$358.4K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	12	20	830	$140	$245.3K
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.	224	260	3,590	$20	$232.2K
J2357	Injection, omalizumab, 5 mg	6	10	370	$350	$228.2K
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…	12	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…	6	20	120	$280	$206.1K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	14	20	20	$660	$205.5K
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…	4	1,630	270	$40	$205.3K
D7240	N/A	10	20	130	$220	$203.5K

Showing 1–10 of 246

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dean Health Systems, Inc.	WI	Ambulatory Surgical Clinic/Center	$2M	$856.3K
Infinity Healthcare Physicians, S.c.	WI	Emergency Medicine Physician	$0	$2.5M
Dean Health Systems, Inc.	WI	Ambulatory Surgical Clinic/Center	$1.8M	$750K
Amol Kulkarni	WI	Ophthalmology Physician	$2.1M	$0
Mitchell Wolf	WI	Ophthalmology Physician	$1.6M	$0
James Bell	WI	Ophthalmology Physician	$1.4M	$0
Shannon O'mahar	WI	Hematology & Oncology Physician	$1.1M	$0
Shadi Latta	IL	Hematology & Oncology Physician	$897.4K	$990
Ki Hassler	FL	Cardiovascular Disease Physician	$858.6K	$0
Joanna Zurko	WI	Internal Medicine Physician	$667.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meriter Hospital, Inc.	WI	General Acute Care Hospital	$0	$25.5M
Ssm Health Care Of Wisconsin, Inc.	WI	General Acute Care Hospital	$0	$14.7M
Ssm Health Care Of Wisconsin, Inc	WI	Clinical Medical Laboratory	$0	$6.4M
Madison Surgery Center, Inc.	WI	Ambulatory Surgical Clinic/Center	$3.6M	$549.2K
Ryan Bros Ambulance LLC	WI	Land Ambulance	$1.5M	$2.3M
Madison Emergency Physicians, Sc	WI	Emergency Medicine Physician	$0	$3.2M
Emergency Medicine Associates Of Madison, Sc	WI	Emergency Medicine Physician	$0	$2.1M
Meriter Health Enterprises Inc.	WI	Clinical Medical Laboratory	$680.6K	$1M
Michelle Lakner	WI	Nurse Practitioner	$660.9K	$0
Lisa Lepeak	WI	Hematology & Oncology Physician	$488.3K	$0

Dean Health Systems, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References